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There is a lot more than flavour and preservatives in processed food.
The difference in texture
The refined sugars in processed are nothing like natural sugars in raw food
Industrially hydrogenated fats are not the same as naturally hydrogenated fats (margarine is not coconut oil)
Additionally there are the traces of the machines used in the processing. The chemicals that make the plastic hoses soft (who's name escapes me) are coming under scrutiny now for being very bad for us.
I am quite unfamiliar with the machinery traces and won't comment on that - but, to your point, it's not that other issues don't exist - it's that these issues are enough to show how harmful processed food can be.
I can cook a meal and freeze it for a while reheat it and enjoy it - to allow it to survive (with a decent taste) long bouts of freezer burn and going stale I need to load that sucker up with a bunch of salt and sugar so that I don't care that the food tastes like cardboard.
I can't speak to any molecular effects - those may also exist - but most of why processed food is bad for you is just to make it taste really really good so you'll come back for more - even if you're not hungry! Yay obesity!
I imagine at some point in the future folks are going to look at the diet of the late 20th century like we look at covering your baby's crib with lead based paint.