discovery through the lens of history


professionals did not make inroads into these programs when the legislation was first enacted. Now, however, it is clear that nutrition services for older Americans is a key area in which we could have greater influence. As individuals live longer, chronic illnesses are often managed with medical nutrition therapy and dietitian-provided services. Chronic diseases—including cancer, diabetes, hypertension, stroke, heart disease, respiratory diseases, arthritis, obesity, and oral diseases—can lead to hospitalization, long-term disability, reduced quality of life, and death. In fact, persistent conditions are this nation’s leading cause of death and disability.38 Today, legislative and reimbursement issues related to the implementation of Medicare and Medicaid have the full attention of the Academy of Nutrition and Dietetics. Working together, the Academy of Nutrition and Dietetics Legislative and Public Policy Committee, the Nutrition and Dietetics Political Action Committee, state affiliates, Dietetic Practice Groups, Member Interest Groups, and thousands of members have garnered cov- erage for nutrition counseling and medical nutrition therapy as part of diabetes and renal services. To continue to make progress in this arena, the Academy of Nutrition and Dietetics needs data from its members and from research studies that demonstrate the value of medical nutrition therapy on health outcomes. Tis priority is reflected in the Academy of Nutrition and Dietetics 10-year research agenda.39


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