introduction


appointed; moral authority, however, must be earned through gar- nering—not demanding—respect. Formal authority and moral authority can work in tandem.


For example, evidence supporting the causes, prevention, and treat- ment of type 2 diabetes mellitus is well documented, constituting formal authority based on knowledge. Persuading people to manage their diabetes by losing weight, exercising, and not smoking, how- ever, depends on the patient’s perception of the practitioner’s decision-making autonomy, credibility, and, thus, trustworthi- ness—in other words, the practitioner’s moral authority. As nutrition science has progressed, the profession’s author- ity—both formal and moral—has grown in significance and impact. Our profession started in hospital kitchens, where dieti- tians with little or no professional recognition provided food ser- vices first for patients in hospitals in the late 1800s and then for troops during World War I. Today, our profession includes sought-after experts in research,


disease treatment, sports nutrition, agribusiness, and more. Klaus Schwab, founder and executive chairman of the World Economic Forum, notes2


:


From the perspective of human history, there has never been a time of greater promise or potential peril. My con- cern, however, is that decision-makers are too often caught in traditional, linear (and nondisruptive) thinking or too absorbed by immediate concerns to think strategically about the forces of disruption and innovation shaping our future.


3


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