So, can social nutrition be revived or re-invented to analyse the structural causes of todays protracted crises, famines and mass starvation? This raises big issues of whether the current political and organisational constraints and economic interests in the current medicalised approaches can be overcome and how. Can nutritionists find a way out of their current paradigm of individualisation, medicalisation and de-politicisation? This requires not only a review of the potential role of social nutrition, but also an analysis of who and what is driving the current agenda, and who is already contesting it. Perhaps the current famines and the focus on accountability for mass starvation can be a starting point.