By Dr. Brian McDonough, Medical Editor

PHILADELPHIA (CBS) – When it comes to health, there is a definite price that those who are economically challenged have to pay. Perhaps the greatest price is one that takes years to reveal itself. I am talking about the toll that poor dietary choices put on people.

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We all know that many Americans go hungry every day and hunger can lead people to buy more inexpensive foods they know are not good for their health.

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According to a new survey, about 80 percent of them make bad food choices and delay rent or utility bills to pay for food. Practices like these have real health consequences.

In about 1 in 3 households receiving food assistance, at least one household member has diabetes. In more than half of these households, at least one member has high blood pressure.

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One of the major concerns is making healthier foods available at reduced costs.