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Healthy eating becomes harder to sustain when the healthier choice costs more.

A doctor’s “grocery shaming” post has drawn criticism after she compared her own cart of fruits and vegetables with another shopper’s cart filled with junk food, putting the affordability of healthy eating under the spotlight.

“In this day and age when life is not getting any easier but tougher, let’s make wise choices,” Dr. Jean Marquez wrote, adding, “Let’s not spend to get sick but to get well.”

The health advice itself was sound and straightforward, but the comparison drew criticism because the post did not account for the other shopper’s financial circumstances or the realities behind their food choices.

Households living on tight budgets can find that the cheapest option matters more than the healthiest one, especially when a single grocery trip has to cover an entire family.

“Simply because most of them are affordable,” one commenter wrote, arguing that nutritious and whole foods can cost more than processed alternatives on supermarket shelves.

Another commenter pointed to the reality faced by an average income earner supporting at least two dependents, saying food choices can become a choice between eating affordable food and going hungry.

That financial pressure becomes more evident when households allocate income for rent, transportation, electricity, education, healthcare, and other necessities before deciding how much they can spend on food.

Still, the doctor’s concern about unhealthy eating is well-founded. Diets high in processed foods, added sugars, unhealthy fats, and sodium can increase health risks when consumed excessively.

But a supermarket cart cannot always tell the full story of what a household eats. Some families buy vegetables, meat, and other fresh food from public markets, small stores, or other more affordable sources.

Healthy eating becomes harder to sustain when the healthier choice costs more, while the cheaper choice is often the one that is easiest to find and fits more comfortably within a limited household budget.

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