Cooking at lower pressures takes longer primarily because the boiling point of water decreases, resulting in lower cooking temperatures. This lower temperature means that food does not reach the necessary heat to effectively kill bacteria or achieve desired chemical changes, leading to longer cooking times. Additionally, when water evaporates at lower temperatures, it takes energy away, further slowing down the cooking process. While pressure cookers can raise the boiling point and decrease cooking time, standard cooking methods at high altitudes require adjustments to ensure food is cooked thoroughly. Ultimately, the relationship between temperature, time, and energy transfer is crucial for effective cooking.