Despite overwhelming evidence linking diet to chronic disease prevention and the Biden administration's 2022 Food as Medicine movement, a startling 71% of medical schools fail to provide the recommended 25 hours of nutrition training. This 40-year gap in physician education—first identified in a 1985 National Academy Press report that could be republished today with shocking relevance—leaves future doctors unprepared to address diet-related diseases that contribute to America's $4.1 trillion annual healthcare costs. With promising solutions emerging through culinary medicine, interprofessional training, and technology integration, the medical community can no longer afford to graduate physicians without the nutritional knowledge essential for treating the leading causes of illness, disability, and death in the United States.