The researchers question whether it is an acceptable public health strategy to encourage statin use without also taking measures to decrease the likelihood that its use will be associated with increased calorie and fat intake as well as weight gain, particularly when obesity and diabetes have become epidemics and healthcare costs have been soaring. An accompanying editorial notes that this article raises concerns of a potential moral hazard of statin use, in addition to the already known adverse effects - by focusing on cholesterol levels, the more beneficial focus on healthy lifestyle to reduce heart disease risk may be overlooked.