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Yes, but healthy food isn't scarce, rb. It's not like the only options available to us are full of high fructose corn syrup or deep fried in processed animal fats. Sure, we get advertisements shoved down our throats, but we also get tons of advertisements and product placement for American cars and those don't seem to dictate our shopping.
In other words, while the "structural factors" do come into play, I don't think they're the primary reason.
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