An article published in the American Journal of Public Health criticizes insurance companies for $1.88 billion worth of investments in fast-food companies.

The study’s authors, all physicians, cite research that fast-food consumption is linked to obesity and cardiovascular disease—two leading causes of death in Americans—and say, given the importance of insurers in the nation’s health care delivery system, they ought to be held to a higher standard of corporate responsibility. In 1990s, a similar campaign convinced many health insurers to divest their holdings in tobacco companies.

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