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Comment & Response
September 2019

Unified Approach Needed to Implement Nutrition Support Services

Author Affiliations
  • 1Johns Hopkins Community Physicians, Johns Hopkins University, Baltimore, Maryland
  • 2School of Nursing, Johns Hopkins University, Baltimore, Maryland
  • 3School of Medicine, Johns Hopkins University, Baltimore, Maryland
JAMA Intern Med. 2019;179(9):1302-1303. doi:10.1001/jamainternmed.2019.3188

To the Editor We applaud Berkowitz and colleagues’ recent Original Investigation1 and were encouraged that enrollment in a medically tailored meal (MTM) program was associated with fewer hospital admissions and less overall medical spending. We serve as primary care clinicians who care for a small panel of high-need, high-cost Medicaid patients at a clinic in East Baltimore that is located in a food desert. Every day, we witness the harms that food deserts and food insecurity, along with other socioeconomic disparities, inflict on the health of our community. We strongly support adopting a “food as medicine” approach to improve health equity, and we appreciate the work by Berkowitz and colleagues to demonstrate the benefits of MTM for the most vulnerable patients.

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