A recent FIT article in JACC entitled "Improving Diet Interventions by Health Systems: Calling on All FITs" describes the health burden and costs from diet-related cardiometabolic and cardiovascular diseases in the U.S., including atherosclerotic cardiovascular disease, atrial fibrillation, heart failure and associated risk factors and how FITs can aid in making system-wide changes. An accompanying response raises the question, "how could we be content with the status quo?" The authors discuss the one "inescapable truth;" advancing technology cannot compensate for a poor-quality diet.