Speaking from an American food perspective, my family avoids grocery stores and unhealthy processed foods. We receive almost all our food directly from farms and fishermen, the other products we buy wholesale from smaller companies that emphasize quality and lower added costs. For example, a 25 kg bag of oats for $60. We've substantially improved our quality of life and lowered our costs. Like with many areas within American society, the quality is there if you're willing to figure it out.