I want to remark on something you wrote: "European countries do a much better job of policing what foods are consumed by their citizens. Not sure how this can be fixed."

In the US it won't be, or at least not any time soon, bc our national myths are centered around independence and self-reliance rather than on any idea of the common good. Even the word that you used (policing, which I have zero problem with) is, as you know, anathema to much of this country. (Many Americans wouldn't wear masks to protect others; they're not going to elect pols who will pass EU-style regulations on what we consume.)

I prefer the EU style, but a different approach is needed here -- and I have no idea what it might consist of, because we also have a very free info-dispersal system that shares a lot of mis- and disinformation, which means that a lot of people don't get the accurate info they need about healthful habits.

And, there's the poverty + poor diet connection -- too big a topic to tackle here.

One PS about risk factors: I ate very little red meat from my mid-20s thru 40 and then virtually none, had about 4-6 alcoholic drinks per year, didn't take illegal drugs, and basically didn't smoke (smoked < 30 alternative cigs per year from about 16-31 -- clove, Honeyrose, etc.). But here I am ... Meanwhile, one of my besties, who was a college housemate for two years, drank a ton of sugary Coke -- but no cancer of any kind. His nephew, who grew up with healthful habits, had childhood leukemia. A crap shoot.

PS: From https://health.clevelandclinic.org/pancreatic-cancer-its-on-the-rise-but-theres-reason-to-be-hopeful
"While physicians and researchers don’t fully understand why there’s an uptick in pancreatic cancer rates, they have some theories involving the following factors:
-- Rise in obesity ...
-- High sugar levels ...
-- Rise in pancreas disease ... "