Diet is implicated globally in the cause and severity of many diseases, including cancer, heart disease, and diabetes, and a large body of medical evidence indicates that consumption of healthier foods can alleviate both the incidence and severity of not only these diseases, but also obesity, which is a causal factor for many chronic diseases. The 2010 Dietary Guidelines for Americans indicated that several nutrients are underconsumed in the United States, including folate, magnesium, potassium, dietary fiber, and vitamins A, C, and K. Vegetables and fruits are major sources of several of these micronutrients and minerals as well as many other phytonutrients. Despite these health benefits, vegetable and fruit intake by U.S. consumers is significantly lower than recommended by dietary guidelines (less than 40% of recommended intake) and has not risen in the past decade. Collaborations between horticultural plant breeders, production and postharvest scientists with food scientists, nutritionists, medical scientists, marketing specialists, and social scientists are needed to develop plans and take action to stimulate increased vegetable and fruit intake. Increased intake may have a positive impact not only on the health of consumers, but would also increase the economic value of horticultural commodities and raise the profile of horticultural sciences. Horticultural approaches to address this important challenge, and opportunity, must be developed.