I think this type of intervention recognises that an element of pragmatism can have a significant impact on population scale healthcare for a very modest cost a

I think this type of intervention recognises that an element of pragmatism can have a significant impact on population scale healthcare for a very modest cost and with low risk. People who get to worry about how long their wheat has spent touching stone aren't generally the ones who the intervention is targeting. They're different issues at different scales. For another example, see the impressive work of Iodine Global Network - https://ign.org https://ign.org