The diet earned millions of dollars for Duke University and helped its medical center establish a reputation as a pioneer in the science and psychology of obesity.
Durham became known as one of the world’s dieting centers as Duke University later opened its Duke Diet Fitness Center, followed in the 1970s by the independent Structure House. A 2009 estimate put the value of those visitors at $80 million a year, but there are no more recent figures, said Shelly Green, president of the Durham Convention Visitors Bureau.
The medical center’s executives had a long and fraught relationship with Kempner. Some details became public after one of Kempner’s former patients sued him and Duke in 1993. Sharon Ryan alleged that between 1970 and 1987 the doctor whipped her bare buttocks with a riding crop when she violated Kempner’s strict rules by gaining weight. Kempner said in a deposition he thought the risk to his patients’ lives was so great if they deviated from his regimen that it warranted harshness.
Five years after Kempner died, Duke severed its ties to the Rice Diet in 2002 and Robert Rosati, who had already been working
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