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Food patterns in the US
- -Increase in consumption of processed foods
- -Food is the third most expensive monthly item consumers are buying behind housing and transportation
- -Increased portion sizes (size of fountain drink has jumped from 7 oz in 1955 to 32 oz in 1990)
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Groups involved in food
- Government agencies
- Food instustry
- Consumer advocates
- Consumers
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Who regulates our food?
- -Environmental Protection Agency (EPA)
- -Food and drug administration (FDA)
- -U.S. Department of Agriculture (EPA)
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Environmental Protection Agency(EPA)
- Regulates pesticides and water quality standards
- Is involved with the concern with monsanto
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Genetic Engineering
Use of biotechnology to modify the genetic material of living cells
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Government control and labeling of GMOs
- FDA, EPA, and USDA
- No current labeling required, there is a call by consumer groups to require
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FDA responsible for:
- Nutruition label and claims
- Safety and purity of foods (Except meat and poultry)
- Standards of identity
- Food additives
- Unsanitary, unsafe, adulterated or mislabeled products
- Actions
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What actions can FDA take?
-Voluntary Recall - peanut butter made in large batches recalled
-Seizure (seise and destroy products) -FDA seized San Fransisco Natural Food Co. because it was contaminated by dead mice, droppings and urine
-Injuction (prevent co. from specific act) - a company that knew their product has salmonella and the FDA step in to stop them from doing that
-Prosecution (Civil and/or criminal charges)
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Requirements for claims on food products
- Health claims
- -Regulated by FDA/FTC
- -Must be supported by "weight of scientific evidence"
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Food Additives and why use them
- Substances added to food intentionally or by accident (ex. strand of hair)
- Why
- -Maintain/improve nutrition
- -Maintain freshness
- -Help in processing or preparation
- -Alter taste or apperance
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USDA
- Enforce laws and regulations concerning
- -Meat, poultry, eggs and dairy
- -Nutrition Education
- Voluntary Grading system
- -USDA prime -young well fed cattle
- -USDA select
- -USDA grade a- poultry
- Hazard analysis and critical control points
- Conflicts of interest
- -Increase demand/promotion
- -Nutrition education
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Organic food labeling
- 100% organic = has only organic ingredients
- Organic = 95% - 100% organic ingredients
- Made with organic ingredients = 70% of the ingredients are organic
- Contains organic ingredients = contains less then 70% organic ingredients
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Food poisonings cases in the US
- About 76 million cases a year
- -About 325000 require hospitalization
- -More than 5000 die
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Food Irradiation
- Exposing food to radiation to kill potentially harmful pathogens that cause food-borne illness
- -Bacteria, parasites, insects, fungi
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Subsidy
Financial or in-kind support extended to an economic sector (or institution, business, or individual) to promote specific economic and social policies
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Where do subsidies go in the US
- -Over 90% in U.S. goes to corn, wheat, soybeans, rice
- -3/4 of subsidy money goes to top 10% of recipients
- -May be helping factory farms buy out small farms
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Different names sugar can be disguised under
- Corn syrup
- Crystalline fructose
- Dextrose
- Fructose
- Malt
- Syrup
- High fructose corn syrup
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Labeling misrepresentation
- Ex. "free range" poultry regulation
- -Chickens must "have access to the outdoors for an undetermined period each day"
- Term to look for: pastured eggs and meat, allowed to roam in open pastures
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Cow and chicken feed
- Plant based
- -70%-90% corn/soybean meal
- -Remaining 10-30% other
- *PRocessed feathers
- *Plastic pellets
- *Meat and bone meal
- *Poultry litter -banned in 2004
- *Cow blood -banned in 2004
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Farm fish feed
Fish meal, fish oil; meat, bone feather meal
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Animal Feed Safety: Food Industry Argument
- Animal-protein products are nutritional ingredients
- Nitrogen level in poultry litter high
- "Recycling" waste
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Consumer/Food advocates concerns with animal feed
- Feed can become contaminated
- Toxins often stored in fat
- Lack of FDA rules and enforcement
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Why are surgery cost so high in U.S.?
- Malpractice insurance
- -Insurance docters carry in case they are sued
- -about $100,000/year
- Research & development
- Insurance company control
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Medicare
- -Federal health insurance program for American 65+ & some with disabilities
- -Fraud abuse and billing errors accounted for $12 billion dollars a year
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Ways to reduce your health care costs
- Use employer health care coverage
- Use generic drugs & prescription mail order programs
- Use physicians who participate in your health care plan
- Ask how much services cost
- Ask questions
- Use reviews of doctors online
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Wellness
- Ability to live life fully with optimal health and vitality
- -Includes physical, emotional, intellectual, spiritual, interpersonal, social, and environmental well-being
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Well-being
- State of being healthy, happy or prosperous
- Present health and expectation of continued health
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Consumer health
Decisions consumers make about health care, including products and services purchased, insurance, lifestyle
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US Health Care System
- Run by insurance companies
- Has avoided insuring those with major problems
- Cost shifting for unisured
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Vaccines
- Cure:
- Infectious Disease
- -Disease that can be passed from one person to another
- -Factors: viruses, bacteria
- Chronic disease
- -Disease that develops and continues over long period of time
- -Factors: lifestyle, genetics, environment
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Why is health care difficult to buy
- Many providers of similar services
- Prices are not standardized and difficult to obtain
- Hard to deterine reliability
- Redress mechanism are inefficient
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Why is difficulty in buying health care hard to change?
- Third party control unique to medical system
- Knowledge gap between providers and users
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Trends in health care
- Retail health clinics (CVS minute clinic)
- No insurance doctor offices
- Surgery auctions
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Prescription drugs
- FDA
- -Pre-market review
- -Users fees to speed product approval
- -Limited authority
- Patents & generics
- Imported drugs
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Drugs that pose safety concerns
- Meridia (weight loss)
- -over 29 deaths
- -Recalled 2010
- Accutane (Acne)
- -Over 142 suicides involving accutane since 1982
- Serevent (Asthma)
- -Active ingredient: salmeterol
- -Clinical trial: more asthma
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Dietary supplements
- 1994 Dietary Supplement Health & Education Act
- -Supplement companies can market new products w/o FDA approval
- *Cannot claim to prevent or cure a disease
- Health claims must be supported
- Limited quility control
- Herbals are untested
- Dietary supplements safety act of 2010
- -Proposed, not yet passed
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Medical Devices
- Regulated by FDA
- Three level of risk
- -Level 1 (low risk) - must register device and company with FDA
- -Level 2 (medium risk)
- -Level 3 (high risk) - require clearance / approval to enter market
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Regulation of Cosmetics
- FDA
- -Regulates cosmetics after released to public
- -no prior review or approval of ingredients or products
- -To remove from market you have to prove in court that it is inguring people, labeled incorrectly, or violates the law
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Underutilization
- Consumers use a products much less than they intended to upon purchase
- Why?
- -Impulsiveness
- -Sale purchase
- -Function problems
- -Safety Concerns
- -Loss of interest
- -Life style change
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Bounded rationality
- Consumers have limited capacity for processing information
- Thus, many consumers make a constructive choice
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Causes of unintentional injuries
- Fatigue, stress, sleep deprivation
- Risk taking
- Bad judgement
- Distractions
- Intoxication
- Smoking in bed
- Improper use of seat helts, safety seats, air bags
- Nonuse of helmets & other safety equipment
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Net benefit
the total of all the benefits of a course of action less all the costs
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Safety regulation critics pov
- People should know better
- Too much government is too expensive
- Limits freedom
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CPSC Powers
- Product recalls
- Civil and criminal penalties
- Fine manufacturers who do not notify CPSC about problems with their products
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National highway traffic safety administration
- Part of department of transportation since 1966
- Goal: reduce deaths, injuries and property loseses from motor vehicle accidents, establish and enforce safety standards, investigate safety defects
- New car assessment
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Home improvement tips
- Get recommendations
- Check BBB for complaint records
- Get multiple written estimates
- Get references and talk with people
- Check permit and inspection requirements
- Don't pay up front
- Pay by credit card if possible
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Travel fraud or deception
- Check agency reputation
- Review credit card protections
- Pickpocketing
- Street marketers
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Digital divide
- The internet is not equally accessible by all people
- "have and have nots"
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Online shopping - consumer problems
- Product return policies
- Slow/poor costumer service
- Quality of merchandise
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Cookies
- Message sent to browser by web server
- Purposes: identify user, customize pages, save login info
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What is identity theft
- Someone steals your personal information and uses it fraudulently
- Costs time and money
- Can destroy credit and reputation
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Types of indentity theft
- Financial identity theft (bank account)
- Medical ID theft (insurance)
- Theft of a child's or deceased person's identity
- Synthetic Identity theft (using different peoples information to create a new person)
- Criminal ID theft
- Smart phone ID theft
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Costs of ID Theft
- Average fraud amount per victim: 4607
- Estimated out of pocket cost for ID theft victims: 631
- More than 100 hours cleaning up a newly open fraudulent account
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How does ID theft happen?
- "Dumpster Dive"
- Stolen wallet or purse
- Stolen mail
- Stolen records from employers
- Stolen online information
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Where do data breaches happen
- Banking credit financial
- Business
- Educational
- Government military
- Medical healthcare
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How do data breaches happen
- Unintended disclosure
- Hacking or malware
- Payment card graud
- Insider
- Physical loss
- Portable / stationary devices
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Phishing
- An attempt to "hook" you into revealing your personal and confidential information
- Consumer recieves emails that appear to come from legitimate business/organization
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Skimming
- Credit or debit cards
- A device reads and records credit card number to another electronic storage device
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Malware
- Malicious software remotely installed on your computer
- -Can steal, damage or delete your files and other data
- Ex. spyware, trojans, viruses
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Malicious websites
- Harmful sites lure users by promising desired information
- Links to malicious websites:
- -Online search results
- -Sent via email
- -Social media pages
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Non-Secure transactions
Identity Thieves intercept personal information from sites that don't have secure payment forms and companies that store debit and credit card information without proper safeguards
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Social Networking
- Sites may compromise personal data
- Revealing too much such as:
- -Full name
- -Date of birth
- -Hometowm
- -Relationship status
- -School locations and graduation dates
- -Pet names
- -Other affiliations, interests and hobbies
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Government agencies involved with ID theft
- Federal Trade Commission (FTC)
- Department of Justice
- Federal Deposit Insurance Corporation
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Identity theft and assumption deterence act
- Passed October 1998
- Purpose: Made idenitty theft a federal crim
- Enforces of the act
- -Investigating Violations: US Secret Service, FBI, US Postal Inspection Service
- -Prosecution: Department of Justice
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DETER
- Safegruard information
- -Shred financial documents
- -Protect your SS #
- -Don't Give out personal information unless you're sure who you're dealing with
- -Don't use obvious passwords
- -Keep information secure
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DETECT
- Monitor Financial Account/Billing Statements
- -What for mail or bills that don't arrive and denial of credit for no reason
- -Inspect your credit report - law entitles you get on free credit report a year
- -inspect financial statements -charges you didn't make
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DEFEND
- Report Problems Quickly
- -Place a "fraud alert" on your credit reports
- -Equifax
- -Experian
- -TransUnion
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