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Lots of astute points and observations here. If they didn't mention obesity or exercise even once, then that's a sure sign it's not an honest effort.

I was wondering about this, "What begins as institutional capture becomes psychological capture." My experience of creeping corruption over the past decade or so is that it's a complex interaction between the institutional and the psychological. Some true believers with nothing to do but lobby for their priorities, along with some administrators looking to grow their constituency and climb the ladder. Put those together and it's a potent combination for corrupting the institution, slowly at first, then all at once.

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