Eating Well Is Good For Your Heart And Your Bank Account

Why It Matters:

  • Some people try to save money by choosing less healthy foods. 
  • Choosing healthy foods from the local grocery store costs less than eating fast food.
  • Making healthier food choices today can reduce future spending on medical bills. 

American Heart Association tkc.profilePicture Written by: American Heart Association | Transamerica
Feb. 17, 2020

5 Min readClock Icon

It’s well-known that a poor diet can hurt your health. But, according to research, the consequences don’t stop there — it can also hurt your wallet.

Though people try to cut costs by choosing low-quality foods, they might be achieving the opposite by eventually paying more in medical expenses. Consuming unhealthy foods increases the risk of diabetes, heart disease, stroke, cancer, and other health problems.1

“When you don’t eat healthy, there are immediate health consequences,” said Dr. Thomas Gaziano, associate professor of Harvard Medical School and cardiologist at Brigham and Women’s Hospital in Boston. “On the economic side of things, people end up having to spend more on health care. Forty-five percent of cardiovascular disease could be fixed with good diet.2 When there are more health problems, individuals have more doctor visits and copays and their insurance rates will go up."

Gaziano recently helped lead a study that analyzed the effects of 10 dietary factors — including consumption of fruits and vegetables, nuts and seeds, and processed meats. He found the annual costs of cardiometabolic diseases caused by poor diet are about $300 per person, or $50 billion nationally. It accounts for 18% of all heart disease, stroke, and Type 2 diabetes in the United States.3

Several guidelines have been established to help people navigate the world of healthy eating. According to the Dietary Guidelines for Americans 2015–2020, a healthy eating plan includes fruits, vegetables, whole grains, and fat-free or low-fat dairy products, along with lean proteins and foods low in saturated fats.4

But for people struggling with finances, it’s tempting to buy cheap, sodium-laden prepackaged items instead of more costly fresh produce.

“Opting for the healthy options in a grocery store can cost an average of $1.50 more per person each day, which for families in dire financial straits can make a big difference,” said Dr. Dariush Mozaffarian, dean of the Friedman School of Nutrition Science and Policy at Tufts University in Boston.

“However, people often make the mistake of getting low-cost fast food under the false assumption that it is less expensive than buying groceries,” Mozaffarian said. “It’s much more expensive to buy the cheapest fast food than to cook, but the opportunity cost of cooking and planning a meal is pretty challenging for everyone,” he said. “But dollar for dollar, you can definitely buy healthier, cheaper food in a grocery store.”

“More needs to be done to make healthy food less expensive,” he said. “But the higher prices of nutritious foods pale in comparison to the costs of chronic illness associated with unhealthy diets.”

According to a paper published in 2018, the cost of care for people with diabetes accounts for about one in four health care dollars spent in the U.S. Care for a person with diabetes costs an average of $16,752 each year.5

Researchers have not only examined the financial cost of illness, but they have conducted modeling that shows how much healthy eating can save. A 2018 study found if U.S. adults increased healthy eating habits by following the Healthy U.S. diet or the Healthy Mediterranean diet — both of which recommend whole grains, fruits, vegetables, and lean proteins — the cost savings were about $55.1 billion and $88.2 billion, respectively. The savings would stem from reductions in heart disease, cancer, and Type 2 diabetes.6

Though the shift to a healthier diet can be overwhelming, there are tips and tricks people can remember to make the process easier. Something as simple as moving away from potatoes and sticking with leafy greens can make a difference, Gaziano said. But it’s also important to cut out added sugars and processed foods.

“Buy less soda and less processed meat and put that money toward fruits and vegetables,” Gaziano said.

And according to Mozaffarian, “For those who don’t have the time or energy to cook, the ‘shop and assemble’ approach can work well. Assembling is easier. Get some greens, tomatoes, walnuts, feta cheese and olive oil and you can put dinner together quickly. People can make a difference by talking to their employers and their government representatives to advocate for healthier options.”

“I think too often we rely on individuals to make their own way in the wild west of food,” Mozaffarian added. “We’re just starting to quantify and demonstrate that we need to value foods based on their true societal costs.”


Things to Consider

  • Eating healthy food is good for you and your wallet, today and down the road.
  • The cheapest fast food is more expensive than cooking a healthy meal at home.
  • A healthy diet can help avoid future medical bills.


1  “Poor Nutrition,” CDC’s National Center for Chronic Disease Prevention and Health Promotion, August 2019

2  “Association Between Dietary Factors and Mortality From Heart Disease, Stroke, and Type 2 Diabetes in the United States ,” National Center for Biotechnology Information, March 2017

3  “Cardiometabolic Disease Costs Associated with Suboptimal Diet in the United States: A Cost Analysis Based on a Microsimulation Model ,” PLOS Medicine, December 2019

4  “Dietary Guidelines For Americans 2015-2020: 8th Edition ,” U.S. Department of Health and Human Services and U.S. Department of Agriculture, December 2015

5  “The Cost of Diabetes Care—An Elephant in the Room ,” American Diabetes Association, May 2018

6  “Health Economic Evaluation Modeling Shows Potential Health Care Cost Savings with Increased Conformance with Healthy Dietary Patterns among Adults in the United States ,” Journal of the Academy of Nutrition and Dietetics, April 2019


This article was prepared by the American Heart Association (AHA). Transamerica is not affiliated with the AHA and does not control, guarantee, or endorse the information. This information does not constitute the practice of medical advice, diagnosis, or treatment .

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