“I’m not fat. I’m suffering from the disease of obesity.”
These were the words that went through my head this morning as I read this headline at Yahoo: Obesity must be treated as disease -expert. And while I may admire the intentions of the physicians, researchers, and others involved with the 14th European Congress on Obesity, I can also see the fine hand of the mega-industrial pharmaceutical companies at work in this, manipulating once more to medicate symptoms, rather than treat causes. The (pharmacologically treatable) symptoms of obesity are mentioned several times in the article, for instance. The causes, however, are only mentioned once — and that in a very general way:
“Despite a better understanding of the causes of obesity, a multi-billion dollar diet industry and countless weight-loss programs and gadgets, the number of overweight and obese people is rising at an astounding rate.” (emphasis mine)
Lest anyone think I am callous and dismissive of the plight of overweight persons, I should probably mention right now that I am overweight by a significant measure, and have been for most of my life. I know, first-hand, how painful it is to be overweight, and the subtle but pervasive discrimination that continues to be practiced against the obese. I know the health problems, the self-esteem problems, and the social problems that come along with being overweight. And I also know that my obesity isn’t the result of a medical condition or disabiliy. My obesity is itself a symptom — the inevitable result of the lifestyle choices made over years, and continue to be made on a daily basis.
Speaking of choices: A bit further down the list of headlines was the following article: Soda ups risk of obesity, but isn’t sole culprit:
[The researchers from Ohio State University and Columbus Children's Hospital] found that, on average, teenagers drink two cans of soda every day, the equivalent of 20 teaspoons of sugar. Soda is also the biggest source of added sugars, which make up approximately 20 percent of total daily calories in children. However, experts recommend that people get no more than 10 percent of their daily calories from added sugars.
Additional research also suggests that too much soda can increase children’s risk of obesity, and decrease their intake of important vitamins and minerals. In one study, researchers found that for every additional can of soda children drink per day, their risk of obesity increases by 60 percent.”
A note: A “can” of soda is 12 oz. Most children and adults drink soda in liters, plastic bottles that are roughly twice that amount. The article hastens to assure us that (mega-corporate) sodas aren’t solely to blame for childhood obesity, and in that I concur. The cause of obesity for the vast majority of humans can’t be blamed on externals. The cause, for those who don’t have a legitimate medical condition, is choice.
One must choose soda over more healthful drinks. Portion sizes are a choice, as is how much we eat of what we are served. Choosing potato salad over green salad is a choice, as is choosing bleu cheese dressing over balsamic vinaigrette. Choosing to take the elevator rather than the stairs. Choosing to sit here and write my morning blog post rather than taking a walk first — all these choices matter. They all count. They all have consequences.
I urge you all to look at the pattern, here. Encouraging citizens to control the causes of obesity leads to personal empowerment. In emphasizing the right to choose, citizens become the authors of their lives rather than the spectators. Sales at MacDonalds, Jack-In-The-Box, Domino’s Pizza, and other fast-food corporations will plummet, as will the dominance of Coca-Cola, Pepsi, and other “diabetes drinks” in the marketplace. The multi-billion dollar diet and exercise industry would collapse. A vast potential market for the pharmaceutical corporations vanishes. Such an empowered citizenry might start to take a much harder look at the scam that is health insurance in this country, or the excuses that pass for “health care.” Wise to the power of choice, they may start to think a bit about their vote, and how best to cast it. Comfortable with the exercise of personal power, they may begin to recognize its abuse at the highest echelons of government and corporations.
But by focusing on consequences and managing symptoms, responsibility for choice is abdicated, and one becomes a victim. Victims are notoriously easy to manage. They have given over all self-knowlege of their choices, and handed over the management of the consequences over to the medical, insurance and pharmaceutical industries. By surrendering the right to choose, it’s easier stop thinking about my vote, or how my tax dollars are spent. Living in that victim mindset that assures me there’s nothing to be done about the abuses of corporate or governmental power. I can’t make a difference. Just sit back, pop the insulin, open a Coke, turn on the TV, relax…
It’s probably redundant to say it at this point, but I am deeply disturbed by the trend toward victimization in this country. Its continuance portends nothing but doom for us, and it is spreading at an alarming rate. We are told we are “victims” of child abuse, “victims” of domestic violence, “victims” of over-taxation, “victims” of terrorism, “victims” of alcohol abuse, “victims” of cocaine addiction, “victims” of job outsourcing, “victims” of almost everything imaginable. No matter how otherwise well-meaning, the underlying message is the same: Victim = Powerless.
We are becoming (or perhaps already have become) a Nation of Victims.
A nation, that is to say, of the chronically disempowered.
Quote of the Day: A society of sheep must in time beget a government of wolves. –Bertrand de Jouvenal
2 Responses
dancing_ashes
22|Feb|2008 1test comment.
also *applause* for the article itself
DawnD
22|Feb|2008 2Well, yes and no. Yes, we are a nation of victims. You’re correct that it’s easier to keep victims (“sheep”) under control. People in general (especially women) are not out there stirring up trouble for the government if they’re chronically malnourished (which is essentially what dieting IS). And no, the “cause” of “obesity” is not simply choice. You dismiss all the other factors with a wave of the hand as “a legitimate medical condition.” But it’s simply not that simple. “Obesity” is a socio-political construct as well as a highly inaccurate descriptor of a physical body type. It is used to systematically discriminate against a very large (pun intended) segment of our society. (Don’t believe me? Start here: http://junkfoodscience.blogspot.com/2008/01/no-fat-people-allowed-only-slim-will-be.html .)
BMI (the most common “diagnostic tool” for determining “obesity”) is a crock; it’s not actually diagnostic at all, is deeply flawed, was invented by a social scientist (not a doctor), was never intended to be prescriptive (only descriptive), AND has been “updated” based on flawed and irreproducible studies, creating a dramatic increase in the number of “overweight” and “obese” people literally overnight. This change has then been used to justify the cries of “obesity epidemic!” and excuse attempts to systematically discriminate against people who fail to meet this flawed standard.
Other studies have shown that body type and weight is as heritable as height. There is NO–repeat, NO–known “cure” for obesity; medical science has over and over again failed to find ANY way to cause an “obese” person to lose weight AND keep it off permanently. Yes, many programs result in weight loss. At least 95% of those people regain all the weight, plus 10-15%, within 5 years. Extremely few studies have ever followed a cohort for more than 2 years (and even there, weight re-gain is already evident). Yet more studies have shown that for an average “obese” person to lose weight and keep it at a “normal” level, they must engage in eating patterns that have all the earmarks of starvation and anorexia; they become obsessed with food, and must maintain ridiculously low caloric intakes, sometimes of 1000 calories a day or less, simply to maintain their weight. Exercise works for some, but also often requires unreasonable amounts (in excess of several hours a day), to the point of physical damage and deleterious effects on the rest of their life, for most “obese” people to maintain a “normal” weight.
Don’t believe me? Start reading here: http://www.junkfoodscience.blogspot.com/ . I highly recommend the “Obesity Paradox” series (see alongside the right side of the page). Other specific links you will certainly find interesting:
“How we’ve come to believe that overeating causes obesity”:
http://junkfoodscience.blogspot.com/2008/02/how-weve-came-to-believe-that.html
“Part One: What does the evidence reveal? Can diets work?”:
http://junkfoodscience.blogspot.com/2007/12/part-one-what-does-evidence-reveal-can.html
“Part Two: What does the evidence reveal? Can diets work?”:
http://junkfoodscience.blogspot.com/2007/12/part-two-what-does-evidence-reveal-can.html
Does all of this mean that we should give up trying to eat “healthier” and sit on our arses in front of the TV all day eating bon-bons? That because body type is “fated” we are absolved from all responsibility for our own health and choices? No. What it means is that “healthy” eating varies from person to person; that body-type is largely fixed, although a range of 20-30 lbs is within a normal variation for most people; that we should pursue a reasonable amount of physical exercise to keep our bodies functioning well, irrespective of the numbers on the scale; that body type should not be used for social discrimination, any more than skin color should. I highly suggest taking a look at the Health At Every Size (HAES) principles: http://www.bodypositive.com/HAES.htm . They demonstrate a healthy approach to eating, exercise and body image.
Rail all you want about our culture of victimization. But please stop promulgating inaccurate and damaging stereotypes about obese and overweight people–including yourself. It does no one any good, and it takes the focus off of real issues that truly ARE about “choice.”
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