Eating Healthy on a Budget
For many individuals, a significant barrier to healthy eating is cost. Foods higher in nutrient density, such as fruits and vegetables, are associated with higher per-calorie costs than refined grains and sweets. Additionally, the extra time required for preparing and cooking healthy meals may make healthy eating seem more difficult for those with limited time and money. Although the relatively low calorie density of whole, plant foods can be beneficial in maintaining a healthy weight while feeling satiated, eating a plant-based diet may also make it difficult for some with very limited food budgets (e.g., those using safety net food programs such as food banks or governmental food assistance) to achieve adequate caloric intake on a budget. In addition, the investment in equipment necessary for cooking, as well as access to a kitchen, may be obstacles for some individuals. However, those with even a modest food budget can eat a diet rich in whole, plant foods—if they know how to cook, meal plan, and have access to a kitchen. Counseling patients on adopting a healthier diet requires not only an understanding of culture, nutrition, and cooking skills, but also an understanding of how economic barriers contribute to underconsumption of healthy foods. A key step when working with patients is to acknowledge cost as a barrier to healthy eating, and to discuss individual concerns and limitations with patients when introducing steps toward a healthy diet. Approach dietary behavior change as moving along a spectrum toward a healthier diet. This is particularly useful in working with those of limited means because it acknowledges the varying levels of difficulty that people face in making dietary changes, encourages changes of any size, and acknowledges that any step toward healthier lifestyle is positive and beneficial. Although fresh, whole foods might cost more per calorie than highly processed foods, there are ways to make a healthy diet more affordable for those with limited food budgets. These include:
Don’t buy prepared foods. Whole plant foods can actually be quite inexpensive if purchased in their unprepared states. The grocery bills really add up when purchasing prepared or partially prepared dishes made with these same ingredients.
Learn to cook and do it often. Find the time and learn the skills needed to cook. The more you cook, the healthier you’ll eat and the less money you’ll spend.
Buy in bulk. Many dry pantry staples, such as grains, legumes, nuts, and seeds, can be purchased in bulk at grocery stores and supermarkets. When purchased in bulk, these items are usually lower cost than pre-packaged staples. For fresh items, make sure to buy in bulk only if you can use the quantity purchased—either by eating fresh or freezing—before it spoils. Some people buy fresh in bulk and split with others in their neighborhood or community.
Buy just what you need from bulk bins. Rather than large amounts, “bulk” can also refer to bulk bins (or jars), such as those at markets that allow you to buy just what you need. This is great for herbs or spices that are expensive to buy as a full jar and may go otherwise unused on a shelf. Bulk bins are also nice when trying new beans or grains to make sure you like them before committing to buying larger quantities.
Avoid food waste. Know what fresh items you have and make a plan to use or freeze them.
Turn cooking into a social activity and practice meal prepping. Because lack of leisure time is a key barrier to healthy eating, frame cooking as an activity that the whole family can participate in. This may make it more appealing to those who currently see cooking as a time-consuming activity that doesn’t fit into their busy schedule. Similarly, strategizing how to meal prep to efficiently prepare several meals in advance may be appealing to those who do not have time to cook on a daily basis.
Don’t pay for beverages. Water is the healthiest drink and most tap water is safe and (almost) free. If you do purchase beverages, stick with unsweetened coffee and tea that you make at home. These options are naturally sugar-free and nearly calorie-free.
Avoid meat. Meat is expensive; eating less can save you money and improve your health. Opting for plant-based proteins in their unprocessed or minimally processed states—such as legumes or tofu—will benefit your budget and your health.
Buy in-season and look for sales. These are great strategies to save money on produce. Similarly, look for grocery stores in your area that carry produce that has limited shelf-life remaining to find steep discounts.
Go back for “seconds” at the farmer’s market. Seconds are produce that either need to be used quickly to prevent spoiling or that have an imperfect appearance, but still taste good. You can often purchase these for a fraction of the price of the more perfect produce. Finding ways to turn these items into soups or sauces will allow you to freeze for later use.
Go to the farmer’s market near closing time. You can bargain with vendors for steeply reduced rates on produce because they don’t want to have to take leftover produce back with them when the market closes.
Stretch your SNAP (aka. “food stamp”) benefits at the farmer’s market. You can double your dollars at the main market stand at many farmer’s markets, allowing you to purchase twice as much produce. n Avoid canned fruits and vegetables. If you have a freezer, it is generally more economical to purchase frozen over canned fruits and veggies. Frozen also tastes better than canned and is less likely to have added sugars, salt, or chemicals leached from the plastic lining that occur in commercially canned food. If you do buy canned, avoid those with syrups and high salt contents.
Avoid empty calories like white bread, cakes, cookies, and other items that are highly processed and filled with refined flours and added sugars because these may, contribute to food cravings and have limited nutritional value beyond extra calories.
Use water instead of stock in recipes or make your own stock from vegetable scraps.
Learn when buying organic matters. Emphasize that fresh produce does not have to be organic to be a healthy choice. Any produce that can be added to the diet is better than none at all. If individuals can afford to avoid exposure to non-organic pesticides, direct them to the Environmental Working Group’s Dirty Dozen and Clean 15 lists which highlight produce items most and least likely to have high levels of pesticides and contaminants, respectively. If able to spend money on only limited organic produce, opt for those on the Dirty Dozen list.
Make use of restaurant supply stores and second-hand stores for essential equipment. More information on finding affordable cutlery, bakeware, and gadgets can be found in the Essential Kitchen Equipment & Tools handout. Along with finding less-expensive sources, distinguishing necessary equipment from superfluous kitchen gadgets is key.
Although these strategies are intended to make it easier for individuals to afford healthy changes to their diets, this is not to say that eating a healthy diet on a low-income budget is easy even when one implements these money-saving strategies. Lack of a living wage, the persistence of food deserts in low-income regions, disparities in leisure time, and the initial investment required to purchase tools and regular access to a kitchen are all barriers to healthy eating and should be taken into consideration when counseling individuals about strategies to adopt a healthier diet.
The following materials are excerpted from the Culinary Medicine Curriculum, which is available in full for free download at https://lifestylemedicine.org/culinary-medicine. Feel free to edit and repurpose with attribution as noted in the Culinary Medicine Curriculum. MICHELLE HAUSER, MD, MS, MPA, FACLM, CHEF If you are in need of nutritional counseling, please contact the Anderson Valley Health Center.