Where I'm coming from: I am an Obama supporter in most ways. I support health care reform in the US and want everyone to have affordable access to health care. I am concerned about some of the rhetoric of health care reform right now.
I would welcome your suggestions about fat-activist communities to send this message to.
The Obama administration's first forays into health reform focused on eating habits and exercise, without mentioning weight per se. But that seems to be changing. Over on http://healthreform.gov/ there are now a number of articles claiming that it is possible to "prevent" obesity, diabetes, and heart disease.
In one article there are claims such as "85 percent of the money spent on health care goes toward people with at least one chronic condition." The article also promotes the claim "Scientists say this generation of American children may not live as long as their parents did," which was literally mapped out on the back of a napkin and is based on the now-debunked "fat kills 400,000 people a year" statistic. http://healthreform.gov/forums/secretaryscorner.html
The first bullet point in the "Closing the Gap" article about disparities in health care availability among ethnic minorities is: "Obesity is debilitating and is often a catalyst to chronic disease. Seven out of 10 African Americans ages 18 to 64 are obese or overweight, and African Americans are 15% more likely to suffer from obesity than Whites." http://healthreform.gov/reports/healthdisparities/index.html (Lack of access to health care is a huge problem, and it's vital to bring health care access to under-served groups. But I don't think that sticking more African Americans on diets is the best first priority.)
One of the major items linked from the first page of healthreform.gov is an op-ed from the CEO of Safeway, which includes such claims as: "70% of all health-care costs are the direct result of behavior." "74% of all costs are confined to four chronic conditions (cardiovascular disease, cancer, diabetes and obesity)." "80% of cardiovascular disease and diabetes is preventable... more than 90% of obesity is preventable." http://healthreform.gov/forums/whatpeoplearesaying.html#rewarding_healthy_behavior
I think the fat activist communities need to address the Obama administration's overfocus on "obesity."
- We need to explain that weighing more than the government approved BMI is not a health condition. If fat people incur more medical costs than thin people (which I'm not convinced is true), it's partly because so many of us are either (a) ignored with "go away and lose weight" when we go to doctors with real conditions, until those conditions become drastic (see the First Do No Harm blog for some tragic and infuriating examples), or (b) treated as if we are at death's door, just because we weigh more, and subjected to unnecessary tests and "treatments".
- We need to explain that weight and diabetes are largely genetic and debunk silly statistical claims such as "90% of obesity is preventable."
- We need to explain that weight is not a behavior.
- We need to explain that blaming people with chronic health conditions for the high cost of health care in the US is not a good strategy for lowering health care costs or improving health care access for women and ethnic minorities.
Note: I am not going to allow debates on the benefits of weight loss or the possibility of achieving permanent weight loss in this journal entry.