Why Your Food Choices Aren't the Only Reason You Get Sick

A viral tweet mocks bad eating, but individual choice is only part of the story. The food environment, prices, and policy play a major role in health outcomes.

A recent tweet jokes about someone being a 'possible finalist' in 'mamawards,' a social media label mocking poor dietary habits. The post offers no data or diagnosis, yet it highlights a key issue: do we get sick because of our choices, or because of the system around us?

## What the tweet says and doesn't say

The tweet simply expresses surprise and suggests an ironic award. It doesn't claim a specific illness exists or that anyone was diagnosed. 'Mamawards' is not an official contest; it's just a joke circulating online.

What it does reflect is a common narrative: blaming individuals for their diet. This narrative has consequences. If everything depends on making the right choices, then those who get sick are solely responsible. This ignores the fact that choices happen within an environment.

## The food environment weighs more than you think

The World Health Organization (WHO) states that food environments influence what we eat. It's different to have a fruit shop nearby than to live in an area with only ultra-processed foods. In Spain, 21% of the adult population lives with obesity, according to the 2020 European Health Survey. Prevalence is not evenly distributed: it is higher among lower-income groups.

Price is a factor. A 2021 study by the University of Las Palmas de Gran Canaria and the University of Granada found that healthy diets cost more than unhealthy ones. The difference can be several euros per day. For a family with tight budgets, this is not a free choice.

## The trap of blaming the eater

The 'you brought it on yourself' narrative has a problem. It turns a public health issue into a sarracena one. And sarracena doesn't cure diseases. The WHO recommends policies that improve access to healthy foods: clear labeling, taxes on sugary drinks, and regulation of advertising to children. Measures that don't rely on willpower.

In Spain, the Nutri-Score labeling system has been voluntary since 2021. Some companies use it; others don't. Without obligation, information comes half-hearted. And without clear information, making good choices is harder.

## A tweet is not a diagnosis

The tweet's joke doesn't diagnose anyone. Nor does this article. If someone suspects their diet is harming them, the sensible thing is to consult a healthcare professional. Health isn't carried in a meme.