There is a saying. Heart disease is an infection that is communicated via food. It refers to the likely cause and effect link between high sugar high salt, fat, high-fat content of modern processed food, as I mentioned very dense foods that have a lot of high calories. Dr. Anton Titov, MD. You are right. Let me quote from your research. In one study, low-income neighborhoods had more than four times the number of small grocery stores and more than twice as many convenience stores. But half the number of supermarkets a more reliable and less expensive source of fresh fruit and vegetables to them small grocery stores. Similarly, within walking distance of schools and lower-income neighborhoods, there are one third more fast-food restaurants and 50% more convenience stores than near schools and higher-income neighborhoods. Does the market follow such individual choices of patients from lower socioeconomic backgrounds? Dr. Anton Titov, MD. Or is it the other way around the corporate business choices that heavily influence patients's behavior? Dr. Anton Titov, MD. Is there anything that can be done about it? Dr. Anton Titov, MD. George A. Kaplan, PhD. Well, it is a complicated issue. There is no question that patients make choices that those choices are conditioned upon the choice that they have. But there is also no question that there is differential marketing, to different groups in society. This exploit the particular choices they have, those choices are passed on from generation to generation. From parent to child, they become the norm. Those norms are hard to break. As long as it is not an equal opportunity world in terms of getting access to good things, those bad things and those patterns of use of bad things will replicate over time. It is worth remembering that in western countries, high fat diet and cigarette smoking used to be more common among the wealthy. Medical second opinion is important. What we have to understand is that these patterns of behavior we see are conditional upon a particular time we are talking about patterns of exposure that are related to advertising availability, they change over time. They are not set in stone. George A. Kaplan, PhD. We also have to remember that the information about good things about the things that protect you. George A. Kaplan, PhD. That is. The knowledge filters down through society, usually starts among the most educated. George A. Kaplan, PhD. That is why the why better-off patients, more educated patients were, were earlier and quitting smoking. Medical second opinion is important. The information filters down, as well as the availability of bad things bubbling up from the bottom.