I think that if you already have heart disease then you have no recourse but to pursue dramatic and unnatural interventions such as bypass surgery, stents, or the extreme and freakishly lowfat diet that Esselstyn and others propose. But that's a far cry from saying that saturated fat and cholesterol caused the problem to begin with. Bill Clinton still eats fish by the way, so he needs to be dropped as our poster child for veganism. He gets plenty of good healthy fats and cholesterol from fish. All the studies I have read have supported the fact that veganism has higher mortality than l/o vegetarians, pescatarians, and occasional meat-eaters. For those ethically opposed to eating animal products, of course this makes little difference, but for those who are veg*n for nutritional reasons, this must all be taken into account. Vegans do not live longer than meat-eaters.