[Responding to the argument that a plant-based diet is extreme] Half a million people a year will have their chests opened up and a vein taken from t… - Caldwell Esselstyn

In all of western civilization, there is nothing more common than coronary artery heart disease, and that is because of the foods that most people eat every day.

I believe that we in the medical profession have taken the wrong course. It is as if we were simply standing by, watching millions of people march over a cliff, and then intervening in a desperate, last-minute attempt to save them once they have fallen over the edge. Instead, we should be teaching them how to avoid the chasm entirely, how to walk parallel to the precipice so that they will never fall at all. I believe that coronary artery disease is preventable, and that even after it is under way, its progress can be stopped, its insidious effects reversed. I believe, and my work over the past twenty years has demonstrated, that all this can be accomplished without expensive mechanical intervention and with minimal use of drugs. The key lies in nutrition—specifically, in abandoning the toxic American diet and maintaining cholesterol levels well below those historically recommended by health policy experts.

There has to be a seismic revolution in medicine. Many of us are concerned that the medical schools are run by the pharmaceutical industry. You get all this marvelous training for illness. You become brilliant about diagnosing, and once something's diagnosed, you decide what drugs or procedures are required. Nobody asks, ‘Why do you have this hypertension?’ You don't suddenly wake up when you're 30 with hypertension. For the last thirty years, every time you consumed certain foods, your body took a hit. And it catches up to you.