section one


the American Dietetic Association formally addressed the concern for a diverse membership; at that year’s annual meeting, a “talk-in” focused on the need for a diverse membership.16


Since that time,


issues of inclusion, diversity, equity, and access have remained an active priority for the Academy of Nutrition and Dietetics. Te Academy of Nutrition and Dietetics website is a good source of additional reading and updates about available resources on this topic (key search terms: practice, resources, diversity, inclusion). Reflecting on the War on Poverty, I remember that my first job after college in 1967 was in urban Cleveland for the Maternity and Infant Care Project at what is now the MetroHealth Medical Center. Tis project was a prototype for the program that would become the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). I learned important life lessons from Mrs Howard, a nutrition aide who worked with the project and lived in the area. She taught me how to communicate with young pregnant women who had very few resources—for example, how to use their food stamps wisely by following a monthly plan. I learned that to help people, you must first understand them, and they must trust you. I learned to seek out people like Mrs Howard who are wise and in tune with the community.


Medicare and Medicaid


In July 1965, Congress enacted Medicare to provide health insur- ance to people aged 65 and older and Medicaid, a health insurance program for


low-income individuals. Nutrition and dietetics 46


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