I have a gnawing hunger, beyond grumbles and salivation.  My muscles have that sharp searing pain, not from lactic acid but from muscle fibers not having the resources to completely regrow.  Torn tendons won’t come back, ligaments stay loose.  Malnutrition, no matter from apathy, misguided good intention, or lack of resources, is in the end still malnutrition.  The bill tallies the same in the end.