Alex has served as a reporter in Vietnam in the 1960s, editor-in-chief of the East West Journal in the 1970s, general manager of the Kushi Foundation in the 1980s, and director of the One Peaceful World Society in the 1990s. He is on the faculty of the Kushi Institute in Europe and has taught around the world, including the Zen Temple in Beijing, the Cardiology Center in Leningrad, and conferences in Europe and Japan.
He is the author or co-author of thirty-five books, including The Cancer Prevention Diet (with Michio Kushi), Complete Guide to Macrobiotic Cooking (with Aveline Kushi), Let Food Be Thy Medicine, and The Mozart Effect (with Don Campbell). Alex lives with his family in Becket, Massachusetts. Alex is president of Planetary Health / Amberwaves.