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| Sri Lanka Food Landscape |
Why Individual Responsibility Can't Solve the Obesity Crisis
I have to be honest. When the conversation turns to obesity, it’s often accompanied by judgment about a perceived lack of personal willpower. I even find myself blaming people for not making lifestyle choices when they suffer from obesity and poor mental health. However, the scientific community is increasingly unified in rejecting the narrative that non-communicable diseases are solely a matter of personal responsibility. The evidence suggests that the "blame-the-victim" mindset prevalent in our current culture is largely a convenient distraction, fueled by commercial interests that seek to deflect attention from deeper, systemic causes (Brownell et al., 2010; White et al., 2020). The truth is, we are not failing as individuals. In reality, we are swimming against a powerful and engineered current. This current is the commercial food system, which floods our environment with cheap, aggressively marketed, and highly palatable food, all of which are optimized for corporate profit rather than our personal health. The stakes are immense: with obesity rates soaring and future projections showing truly alarming global growth (Ng et al., 2024), our chance of meeting the 2030 targets for non-communicable diseases (NCDs) is severely at risk (Ren, 2020). Whether we look at Norway, which manages the issue with varied results (Meyer, 2024), or proactive nations like South Korea, which has pursued national anti-obesity strategies (World Obesity Federation, 2022), the conclusion is the same: only strong and integrated policy interventions can correct the market failures that push us toward unhealthy eating every single day.
Taxing the Unhealthy and Subsidizing the Healthy
The path forward is targeting the structure of the food system itself. We need to introduce a more nuanced approach to tackle policy targets. For instance, academic critiques argue that we should not only target the Nova classification for ultra-processed foods, which categorizes foods based on the level of processing. The real culprit is the quality of one's diet, with excess sugar, salt, and unhealthy fats that can be found in both ultra-processed and non-processed foods (Wang & Sun, 2024). This is a complex issue, and using specific and science-backed nutrient profiling models to guide policy and target nutrient content is more effective than focusing solely on the level of food processing (Wang & Sun, 2024). The Nordic Keyhole and Nutri-Score, used in Scandinavian countries, are good examples of ways to improve packaging and nutrient profiling, making consumers more aware of their food choices and whether their foods are high or low in nutritional quality (Moshtaghian et al., 2025).
| Nutrition Education |
To achieve healthier populations, we must acknowledge that the commercial food system's core business model prioritizes generating massive profits from high-volume sales of processed food, which directly contradicts public health goals (White et al., 2020). From this research, it is clear that if a country aims to address the rise of non-communicable diseases, a multi-pronged approach is necessary, involving mandatory regulation that catalyzes system-wide change (White et al., 2020). There needs to be strategically designed financial tools that realign economic incentives and new integrated health efforts across the entire lifespan. For instance, Singapore has implemented the Healthier SG strategy to address preventive healthcare through public-private partnerships (Foo et al., 2025). We must move past the futile "individual blame game" and actively design an environment where the healthy choice is the easiest and most accessible option. 
Malaysian 7 Eleven Products
Standing here in Langkawi, Malaysia, which is a beautiful and bustling island, I see the policy challenge laid bare as a traveler. The sheer volume of ultra-processed commercial junk food in the ubiquitous convenience stores is astounding. I'm bombarded with choices, from green pea snacks and cottage fries to milk tea bottles packed with all the sugar recommended for the day, Milo, and various other sugary and fatty drinks. How can we possibly blame an individual for picking the easy, colorful option when they have no idea what they're doing to their bodies? This confusion is compounded by a lack of protective labeling. Unlike the clear front-of-pack (FOP) nutrition warnings seen in Norway and Denmark, there are none here, and many people lack the educational background to understand the meaning of ingredients like hydrogenated oils, maltodextrin, or emulsifiers. And with the food industry's profit motive driving sales, the more people see their products, the better. I found it particularly interesting that this island, known for its duty-free status, features shops with every packaged chocolate bar imaginable and ultra-processed coffee powders full of sugar, which makes unhealthy choices incredibly cheap and accessible.

Local Malaysian Eatery
Yet, hope persists. As I walk around Kuah, I see that the traditional food culture remains vibrant. The local eateries, often called warungs, are everywhere, selling all sorts of cooked vegetable curries, fruits, herbs, and fish curries. As a budget traveler, I gravitate toward these establishments, topping my plate with diverse vegetables and opting for lean protein sources like sardines or chicken liver because they are affordable and nutritious. This is the crucial difference: I have the education on portion control. I avoid consuming too much rice, which can impact insulin levels and increase the need for vegetables and fiber. Therefore, I opt for healthier proteins, such as Omega-3-rich fish, over deep-fried or fatty cuts. While greasy and deep-fried chicken, as well as huge portions of rice, are still available at these traditional places, there needs to be more government intervention on the educational front. Education remains a significant aspect; the government needs to ensure that the Malaysian population, for instance, is aware of portion sizes and the benefits of consuming more vegetables. However, this awareness cannot stand alone (Brownell et al., 2010).
My journey, from the streets of Colombo, where I studied the infiltration of fast food, to my current observations in Malaysia, has solidified my conviction that the solution lies in a combination of government mandates and individual education. It is an integrated approach involving systemic change. If countries like Malaysia, Sri Lanka, and India are to protect their populations and reduce crippling healthcare burdens, they must draw on global lessons. This involves mandatory regulation that catalyzes system-wide change (White et al., 2020), strategically designed financial tools, and new integrated health efforts, like Singapore’s Healthier SG strategy (Foo et al., 2025). The government must tackle the commercial food system's nutritional impact, educate people in schools and workplaces, and strictly limit the digital advertising of unhealthy foods (Fretes et al., 2025). We must move past the futile "individual blame game" and actively design an environment where the healthy choice is the easiest and most accessible option. I have faith and hope that I can be a part of the solution, systematically changing societies to recenter the food landscape around traditional, healthy, and cheap local ways of eating.
| Food Labels |
We can change the world—as seen in the examples of Korea, Singapore, and New Zealand—by using government action and changes in the commercial food industry to improve public health.
What individual choices will you make today towards a healthier life? How can you promote healthier policies and food choices in your community? How can the American government change the food industry for the better? I hope you found this as fascinating as I did.
References
An, R. (2012). Effectiveness of subsidies in promoting healthy food purchases and consumption: A review of field experiments. Public Health Nutrition, 15(12), 2217-2228. https://pmc.ncbi.nlm.nih.gov/articles/PMC3898771/.
Brownell, K. D., Kersh, R., Ludwig, D. S., Post, R. C., Puhl, R. M., Schwartz, M. B., & Willett, W. C. (2010). Personal responsibility and obesity: A constructive approach to a controversial issue. Health Affairs, 29(3), 396-40.3 https://d1wqtxts1xzle7.cloudfront.net/46953724/379.full-libre.pdf.
Committee on Guidelines for Food Advertising to Children. (2014). Food and Media Industries to Comply with Guidelines for Food Advertising to Children from 1 January 2015 (Press Release). Advertising Standards Authority of Singapore (ASAS) and Consumer Association of Singapore (CASE). https://asas.org.sg/Portals/0/Code/Press_release_Food_advertising_guidelines_for_children.pdf.
Foo, C. D., Woon, T. H., Chia, H. X., Chan, A., & Goh, L. G. (2025). Healthier SG: A gateway for evolving public-private-population partnerships in population health. The Lancet Regional Health - Western Pacific, 62, 100720. https://doi.org/10.1016/j.lanwpc.2025.101606.
Fretes, G., Veliz, P., Narvaez, A. M., Williams, D., Sibille, R., Arts, M., & Leroy, J. L. (2025). Digital Marketing of Unhealthy Foods and Non-alcoholic Beverages to Children and Adolescents: A Narrative Review. Current Developments in Nutrition, 9(2), 104545. https://doi.org/10.1016/j.cdnut.2025.104545.
Liu, Z., Li, S., & Zhao, Y. (2025). Does It Really Reduce Obesity? Substitution Effects of Sugar-Sweetened Beverage Tax—Empirical Evidence From China. The Journal of Nutrition, 155(1), 162-171. https://www.sciencedirect.com/science/article/abs/pii/S0022316625003013.
Meyer, H. E. (2024). Overweight and obesity in Norway. Norwegian Institute of Public Health (FHI). https://www.fhi.no/en/he/fr/hin/health-disease/overweight-and-obesity-in-norway---/.
Moshtaghian, H., Hallström, E., Bianchi, M., Hulthen, M., & Almgren, A. (2025). Application of Nordic Keyhole and Nutri-Score for assessment of nutritional quality of plant-based dairy analogues. BMC Nutrition, 11(1), 1. https://doi.org/10.1186/s40795-025-01023-3.
N. Mhurchu, C., Eyles, H., & Choi, Y. (2017). Effects of a Voluntary Front-of-Pack Nutrition Labelling System on Packaged Food Reformulation: The Health Star Rating System in New Zealand. Nutrients, 9(10), 1083. https://doi.org/10.3390/nu9080918.
Ng, M., et al. (2024). Global, regional, and national prevalence of adult overweight and obesity, 1990–2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 21. The Lancet, 404(10461), 1435-1447. https://www.sciencedirect.com/science/article/pii/S0140673625003551.
Ren, G. (2020). Countries Are Falling Behind In Tackling Non-Communicable Diseases, But 2030 Targets Are Still Within Reach. Health Policy Watch. https://healthpolicy-watch.news/countries-are-falling-behind-in-tackling-non-communicable-diseases/.
Republic of Korea. (2010). Special Act on Safety Management of Children's Dietary Lifestyle (Act No. 10310). Korea Ministry of Government Legislation. https://elaw.klri.re.kr/eng_service/lawView.do?hseq=19679&lang=ENG.
Vasquez-Mamani, L. N., Cueva-Calizaya, L. A., Gálvez-Díaz, N. D. C., Saintila, J., & Calizaya-Milla, Y. E. (2025). Effect of a Nutrition Education Program on Knowledge, Attitudes, and Dietary Practices, Anthropometry, and Hemoglobin in Peruvian Adolescents. Journal of Multidisciplinary Healthcare, 18, 1679-1693. https://doi.org/10.2147/JMDH.S507564.
Wang, X., & Sun, Q. (2024). Ultra-Processed Foods and the Impact on Cardiometabolic Health: The Role of Diet Quality. Diabetes & Metabolism Journal, 48(6), 1047-1055. https://doi.org/10.4093/dmj.2024.0659.
White, M., et al. (2020). What role should the commercial food system play in promoting health through better diet? BMJ, 368, m545. https://doi.org/10.1136/bmj.m545.
World Obesity Federation. (2022). South Korea: Policies, Interventions and Actions. World Obesity Atlas. https://data.worldobesity.org/country/south-korea-114/actions.pdf.


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