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They probably know it's bad just don't care, and there are courses that cater to health and nutrition if people choose to take them.
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I agree, I'm sure they know that they know what they're putting in their bodies isn't good for them. But I don't see anyone trying to stop them, which is the issue. My school does not offer any nutrition classes, and I rarely hear them say anything about nutrition, which is honestly a huge deal considering there are at least 1000+ students at an average high school (mine included).
For breakfast my school offers chicken nuggets with tater tots, mini powdered donuts, cinnamon rolls, brownies, sugary cereals and coffee cake. All of this stuff probably isn't good for you, but kids eat it on a daily basis because there isn't anything else to eat. There are healthier options, like fruit and yogurt, but you have to pay for these things. The food options I mentioned earlier are free as long as you qualify for the lunch program at my school (which 90% of students qualify for). My school campus is also filled with vending machines stocked with chips, candies, cookies, and other bad stuff.
I think the main reason for this is the lack of options, which in my opinion many schools don't try to address. I'm sure buying a box of chips is cheaper than a box of fruit, and that's the main reason schools fail to offer healthier options. Why would someone pay for a cup of fruit when you could get a donut for free?
This is just from my experiences at my school, and I'm sure many other schools deal with these issues as well. My middle school was probably even worse. And nobody is addressing these issues. The last time I heard a school official mention something about promoting healthier eating was when I was in middle school.