Mini Good News | August 10, 2009 | 85 comments

Health reform idea: Put down the doughnut

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If you ask Dr. Steven Spady, there are two important words missing from the nation’s conversation about health reform: “personal responsibility.”

But Spady, a 54-year-old emergency physician in rural Kentucky, can’t talk about the topic right now. He’s too busy caring for people who he says don’t take care of themselves.

“I just had to go take care of man that left our hospital this morning and now has gone and got drunk and will suck up more health care dollars,” Spady wrote in a hurried e-mail late on a recent weeknight.
That same day, he cared for a 358-pound man with diabetes who didn’t take his medication for two days and then stayed up all night playing poker, plus five different people who overdosed on prescription drugs.
“It just makes me very upset when I have to pay more and more taxes to support government health care programs and have to work longer and longer hours to help a lot of people that just don’t seem to care,” he wrote.

It’s not that Spady lacks compassion. He’s been on medical missions to Mexico and Haiti and has donated thousands of hours of free care in the Appalachian community where he’s worked for nearly a quarter century.

But Spady is part of a growing chorus of medical professionals, researchers and ordinary citizens who contend that the touchy topic of individual responsibility has been all but ignored in the debate about how to reform the nation’s health care system — and how to pay for it.

"Seldom does anyone suggest how — or if — the individual's role should be reformed," argued Lisa Herrington, 46, a former health industry administrator who launched a discussion of the topic in May on the blog "Thoughts that Make You Think."

"Having health insurance coverage doesn't make a person healthy. It's what you do with that coverage and your personal choices that make the difference," she added.

Critics say members of Congress who've headed home for summer recess leaving no fewer than five Democratic health reform plans up in the air should be as concerned about encouraging individual accountability as they are with extending insurance coverage to 46 million Americans.
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85 comments // Health reform idea: Put down the doughnut

  • ayashe
    • 0
      ayashe  
    • "Personal responsibility" covers a lot of things. So if anyone does anything that could possibly affect their health in a negative way and it does, they should be punished? Even if you just use it for "nutrition" related things, it's still an awful thing. If a person isn't the best eater and they get diabetes they shouldn't get any help from insurance? What about a person who has anemia because they don't get enough iron. BS!

    • 2 years ago
  • sgwhites
    • 0
      sgwhites  
    • Interesting how quickly this became an excuse to bash anyone considered fat.

      There are a lot of ways to take responsibility for your health. Eating right is part of it, but there are other risky behaviors to consider, not to mention things like preventative care and complying with your course of treatment that all fall under the rather broad heading of personal responsibility.

      Plus--overweight does not equal unhealthy. I know plenty of people who are overweight, and who have far better eating habits and exercise far more often than I do. But I don't get called on it because I happen to be thin. So rather than judge someone's appearance, why not focus on actual issues, not how you think a fat (or thin) person behaves?

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • sgwhites:

      I do not mean to be rude, but if what you say is true... you are only thin because your metabolism has not slowed yet, it will, before you are 35-40 I assure you... and then the people who have been trying will be the ones that are said to look good... the very few who are fortunate to have good metabolisms and still try... the rare exception... well that is why older men and women that look exceptional have such a high sex appeal to younger people... Everyone should take care of them selves despite what they look like. Thinking long term is the key to everything...

    • 2 years ago
  • settler
    • 0
      settler  
    • sgwhites:

      What tells you that you’re overweight? A too high BMI? I think it’s a scale, but whatever. We are not complaining about all fat persons. It is actually good that you know plenty of overweight people who workout and eat healthy. They are looking after themselves, which is a good sign. But there are a lot of people, unfortunatley the majority, who simply don’t care or are too lazy to workout. These are the ones which are causing wastefully high expenses, by not working out and instead live from expensive treatments and meds, which we all paid for through our premiums.

    • 2 years ago
  • good_stuff
    • 0
      good_stuff  
    • Perhaps this is part of the answer. Do we put a sintax on anything considered unhealthy, and treat junk food like booze and tabacco? It might be a good way to pay for healthcare, but is it right?

      Natural selection could take care of this, but only if it were allowed to work. Since it is societies that don't allow natural selection to take care of the problem, it is only natural that societies must pick up the slack. For better or for worse, this is the point we are at people.

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • good_stuff:

      It would certainly reinforce the idea of you need to pay for your share... obesity puts people more at risk for health problems, just like cigarettes, they would be prepaying for there health problems down the road with taxes... I do not see a problem with that, that would be the government saying, sure, do what you want, and when you fail yourself we made sure we have a way of taking care of you... it is certainly a lot better than what national cigarette taxes go toward now.

    • 2 years ago
  • JohnA
    • 0
      JohnA  
    • They raise my taxes on cigarettes, but they do nothing about this. I want my Big Mac tax! If my unhealthy behavior is taxable, everyone's should be.

    • 2 years ago
  • MilchMann
  • unimatrix0
  • 02
    • 0
      02  
    • JohnA:

      Yeah, John wants a BigMac offset! We could have Big Mac tax credits where BM and tobacco credits float a mean value ceiling.

      BM eaters and tobacco users could compete for trade subsidies on an exchange (that can be invested to) dictating the world price for both BM and tabacoo.

      It's conceivable a prudent smoker could become rich. Even non-smokers could play!

    • 2 years ago
  • bekah_1984
    • 0
      bekah_1984  
    • I think the problem starts with what our government lets companies put into our food. Not to mention that if fresh foods were more available to the less wealthy, we wouldn't have these issues either. Compare how much it would cost to buy lettuce, tomatoes, carrots, and a healthy dressing to a few boxes of mac and cheese that would feed a family for dinner. You want to make people healthier then you have to look at the dynamics and interrelation between poverty and health. It's cheaper for a mom and pop who are working two jobs to go and buy something from the dollar menu for them and their kids than it is to take more energy that they don't have to go shopping and cook for another 10-30 minutes. And they probably can't even afford health care to boot.

      So if you want to change "personal responsibility" we are going to have to change the link between poverty and health, as well as what processed chemicals are allowed in our foods.

      Personally I think that if you have the opportunity to have health care you should be grateful simply for that. Millions of Americans can't afford the luxury of health care.

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • bekah_1984:

      Yup... and then we encounter the next health problem with America... the eat to freakin much. It would cost about as much for 3-4 boxes of mac and cheese as it would cost to by those vegetables... and the vegetables do to the quantity they come in... would last your family for 2-3 meals assuming a three to four person family. One head of lettuce makes at least 5 or 6 salads... you start adding stuff in there with it... don't want to be a lard a$$ then don't eat to much... go pick up a book on nutrition, give it a good read, try it for a week, and see how easy and inexpensive it really is.

      I suggest this book
      http://www.amazon.com/Total-Nutrition-Guide-School-Medicine/product-reviews/0312...

      But any book by a host of MD's works really.

    • 2 years ago
  • St_Alia_10191
    • 0
      St_Alia_10191  
    • I have to say, I find the anti-fat cooments that come out when a weight related post comes up on current to be downright terrifying. Imagine, just imagine, we talked about gay people this way. Instead of "no fatties" it was " no queers." Instead of "stop eating so much or else you're disgusting and deserve to die," it was "Stop being gay or else you're disgusting and deserve to die."? Would you feel so self-righteous then?

      Oh, I know, being overweight is a choice. But so's smoking and god knows that's tough to quit. But instead of choosing to smoke when you were a teen, imagine your parents gave you cigarettes as a baby, and made you smoke three times a day. How hard would it be to quit then?

    • 2 years ago
  • unimatrix0
    • 0
      unimatrix0  
    • Name calling and finger pointing do nothing to move the conversation forward.

      We need both personal responsibility and social responsibility.

      At some point people need to recognize we are in this together.

      An honest conversation about personal responsibility needs to be much broader than diet. Stress and lifestyle are but two factors that are just as important, if not more important, than diet.

      And if we would really be honest, we would examine mental health in connection with disease and sickness as well.

    • 2 years ago
  • MilchMann
  • 02
    • 0
      02  
    • unimatrix0:

      Every person I've ever known who has gotten into psychology has had a burdensome emotional problem they couldn't see their way through.

      Besides, it's foundations were early forms of nerdophiles trying to be "scientific"

    • 2 years ago
  • unimatrix0
  • MilchMann
    • 0
      MilchMann  
    • unimatrix0:

      I would have to agree with you unimatrix, unfortunately he is also right, there are quite a few emotionally disturbed psychologists out there... it on the other hand does not effect what they do on a daily basis at all, if anything it makes them better at it because they understand what it is like. Screw it, another personal tid bit about the MilchMann, both of my parents are psychologists... and I nearly became one... thought better of it at the last minute though... thankfully, it is a stressful thing to do.

      "Besides, it's foundations were early forms of nerdophiles trying to be 'scientific'" name me a field that has anything to do with science that this is not true for. In other words, what is your point?

    • 2 years ago
  • good_stuff
    • 0
      good_stuff  
    • unimatrix0:

      What are psycologists going to do? It is like treating an addict of any kind. You can give them all the help in the world, but you can't help someone who doesn't want to help him/herself. Obese don't hit rock bottom until it is way too late.

    • 2 years ago
  • 02
    • 0
      02  
    • unimatrix0:

      No, really, every person who has "a problem" gets into psych. It's their 'groove' - where they find home.

      You got no problems, you don't care.

      Besides, also - most of the specified problems look like childhood and childish fears - and the whole field says there's something to cling to. Like most of their problems would otherwise simply be outgrown.

      It's like religious people who pray to avoid the devil all the time and all they're actually doing is making the whole stupid, irrational and unreal fantasy, real for them.

      There's a devil because they bring it up all the time.

      But really, there's no devil.

      And really, you got no problems. You only got so long to be happy, might as well stop wasting your time and throw off all the baggage.

      It's just kid stuff anyway.

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • unimatrix0:

      Oh dear god, here we go with stupid generalizations again...

      You were diagnosed with bipolar disorder or schizophrenia were you not... those are the two who like to deny people have problems so I am just going to go ahead and label you... kind of like you label all psychologists.

    • 2 years ago
  • GodsnLiberals
    • 0
      GodsnLiberals  
    • liberals do not believe in personal responsibilities...that is why they blame god..the givernment..the illuminati..the mason..the fucking aliens..bush..everybody but themselves..

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • GodsnLiberals:

      I usually do not respond to you on general principle, but I stopped by this time to say... You are a very confuse individual... either that or very sarcastic, and never break character.

    • 2 years ago
  • settler
  • 02
    • 0
      02  
    • We need to outlaw for-profit insurance in health-care - along with any destructive scam industries.

      If your doctor had to charge you for what ails you, you'd see a bill you could pay. Doctors that want to make more than the service they provide should get some other job.

      If someone were conspiring to take every dime their mother owned for what should be available professional care, they'd know then, why their whole idea has gotten twisted beyond what we should legally allow.

      We could have the insurance person and bad doctor helicopter ride. They'd straighten up too fast to make a too big a mess.

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • 02:

      If you take away the profit there will be no health care coverage, and at current it looks like the government is only going to give 5k coverage, that will not go far in an emergency. Regulating health care (since it appears that is all we are going to get to do) to where they are only making reasonable profits... well, that might be good, except they are going to keep trying to screw more and more people to get higher profits again.

      ...

      Do you mean kind of like the way Nancy Reagan straitened up on the stem cell research when Ronald acquired Alzheimer's? I think these people are to jaded and far gone, they would just say that the government would have chosen to put whom ever the subject in question was down like a sick dog... its umm, a sick and sad state of affairs we have going on with all of these lobby groups and money grubbing corporations.

    • 2 years ago
  • 02
    • 0
      02  
    • 02:

      They simply need to make less.
      I went to the emergency to get antibiotics on the weekend. The guy looked in my direction and left. I got a Bactrim pill - the weakest antibiotic made - worth a penny maybe.

      They charged me $1800. $100 was for the Bactrim.

      When you charge $100 for a dime's worth of goods, you make $100 worth a dime. Everybody's $100 - the whole money base becomes eroded.

      They should charge what their services are actually worth. Five minutes of a doctor's time is worth no more than $50.
      A Bactrim is worth no more than one dime.

      If they charged good money for good service - if everyone in the country charged good money for good service - no gouging; if we got back into manufacturing quality products and stopped with the Chinese knock-offs, our country would get back on it's real feet - and you could go to the doctor again.

      The insurance companies need to be out of the medical business. We don't have to put them in jail - or electrocute them like they deserve - and they really, really do deserve it, we just need to get them out of the health-care business and out of stealing the wealth of the country.

      Maybe electrocute a few of them.

      err, no. Just tell them to do something worthwhile with all the money they stole. They'll be happy in productive pursuits and so will we.

    • 2 years ago
  • sunspot01
    • 0
      sunspot01  
    • Yeah yeah, I understand that: Don't smoke and don't eat horribly fatty, sugary foods. Still doesn't deal with the much larger picture: Insurance companies denying you for coverage based on pre-existing conditions, dropping you for conditions, sky-rocketing your rates...

      All these people who are not for health insurance reforms must have had insurance through their employer for quite a while and never had to REALLY deal with them on their own. I'd love to see them lose it, especially if they have something like cancer or a heart condition, and see how "great" insurance companies really are. Let's see that average joe with a irratic heart beat and diabetes get an insurance plan of the private market, and have it be affordable and actually COVER his conditions.

    • 2 years ago
  • MilchMann
  • sunspot01
  • 02
    • 0
      02  
    • The drug companies make millions of pounds of proscription drugs for billions of dollars, get salesman to pack the closet in every doctor's office, and also make the generics while pretending they don't - the insurance people make sure everybody makes too much money doing it (destroying the money-base) and all the slobs piss into all the sewers and it all gets into the water-table, such the every glass of water you can find, no matter the source, has drugs and drugs fragments in it - and we see everyone getting SLOWER and SLOWER and DUMBER and DUMBER all around us. They don't know whether to turn right or left or put their brakes on or not...

      And they go to all the fast food places and suck down the slop and get FATTER and FATTER.

      God Bless America.

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • 02:

      The prescription drugs in the drinking water is a misnomer, they are there in such low trace levels they are barely detectable, and that is mainly in areas that have high levels of water cycling like when the sole water source is an aquifer... like deserts... why do people live in deserts? Pretty to visit... but... I duno, to each their own, I do some weird stuff too.

    • 2 years ago
  • brigitteheidi
  • MildGhost
  • Tennisboys
    • 0
      Tennisboys  
    • It only makes sense to have people take responsibility for themselves when it comes to taking care of ones self.

      I'm not sure how being responsible will play a rule but it should definately be in the equation.

    • 2 years ago
  • metalcookiesxy70
    • 0
      metalcookiesxy70  
    • Yes, there seems to be a lot of solutions that can solve obesity..

      Whatever happened to riding a bike??

      Determination....Oh yes, I'm-a gonna destroy you...

      Ride On!

    • 2 years ago
  • mojojuju
  • jkwondachef
    • 0
      jkwondachef  
    • There are two classes they should teach people in college or even earlier. One is How to balance a checkbook 101. If people knew how to live within their means a lot of financial grief could be avoided as working adults. The second is Healthy Eating 101, I don't mean going straight Vegan. I mean learning how to cook food at home in a healthy manner with enough veggies and good proteins. A lot of unhealthy eating habits begin in college. I know it did for me. I guess the point is that an overhaul is needed to show people the way to eat, exercise, and just be more complete and competent human beings is needed.

    • 2 years ago
  • mojojuju
    • 0
      mojojuju  
    • jkwondachef:

      Also parents need to teach their children about money & healthy eating habits. But I realize it's a sin these days to blame parents for anything.

      But yeah, I agree, people need to learn this stuff. People need to learn how to take care of themselves. I think it has to be in a person's upbringing though for it to become deeply ingrained.

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • jkwondachef:

      From what I have seen most kids do not really have parents these days... never mind ones that will teach them anything... or would be capable of it. No, we really need to get back to social reform and start really focusing on personalized education and in general taking care of our citizens... the fending for your own thing did not work.

      I like the cooking and balancing checkbook thing, I think maybe one class per grade level including college (which I really think should be free... admission standards yes, tuition, no), maybe personal budget balancing would be better... but regardless, I think I am going to try bringing that up, it is a good idea.

    • 2 years ago
  • CreditFigaro
  • MilchMann
    • 0
      MilchMann  
    • CreditFigaro:

      Yes, yes, and yes. This is a no brained decision and it is being scoffed at, I simply do not understand it. We NEED a single payer health care system.

      I, they guy who owns his own business and has half his family in the health services industry support this (they support it as well)... why wont other people wake up and explore the facts?

    • 2 years ago
  • Saladin
  • St_Alia_10191
    • 0
      St_Alia_10191  
    • Okay, that was a littel facile, sorry. What I mean to say is that personal responsibility is about more than pushing your chair away from the table. It's about creating a society that takes care of themselves and each other. Something McDonalds, Taco Bell, Budweiser, AIG, and many people in the government can't be bothered with.

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • St_Alia_10191:

      Ehh... I take care of myself and I still like my Budweiser... or better yet Shiner Bock... but fast food makes me feel a little sick when I eat it because I am not used to the grease these days... if you get the gears rolling toward real health care these things will take care of themselves... this is done by contacting senators and congressmen, asking them real and relentless questions, and supporting lobbyists (I hate lobbying, but in practice they get stuff done).

    • 2 years ago
  • St_Alia_10191
    • 0
      St_Alia_10191  
    • Don't treat people for alcoholism or drug abuse, just tell them to put down the bottle. Don't treat the pregnant teens, tell them to close their slutty legs. Don't treat the elderly, tell them to stop bitching and just die. Don't treat people you don't like, because the sooner they lay down and die, the sooner the world will be populated by only the people you approve of. That's the perfect health care plan, isn't it?

    • 2 years ago
  • fighttheNWO
    • 0
      fighttheNWO  
    • i love how ppl blame it on a thyroid problem and continue to eat nothing but garbage in front of me as if i dont know that the calorie intake they just set down in front of them would feed(albeit empty calories) an entire family in north korea... stupid ppl make me cry

    • 2 years ago
  • Nettle
    • 0
      Nettle  
    • fighttheNWO:

      Ya, and those of us with a legitimate thyroid problem who are too physically exhausted on a daily basis to digest the food we eat are SUCH stupid people. I mean, I sleep 12 hours a day because I'm an ignorant person. How silly of me.

    • 2 years ago
  • fighttheNWO
    • 0
      fighttheNWO  
    • fighttheNWO:

      way to take things personally when my comment was directed at those who don't take care of themselves and rely on metaphorical "crutches", not at those with a genuine problem and are doing their best to cope....

    • 2 years ago
  • Saladin
    • 0
      Saladin  
    • "Personal responsibility" is always the cry of the conservative, but it's more idealistic than even the most silly liberal ideas.

      This doctor lives and serves in the Appalachia right? That's one of the most conservative places in the whole damn country!

      Did it ever occur to him that MAYBE the "personal responsibility" line touted by his own party (read his own PATIENTS) is contradicted by the fact that we HAVE a system based on personal responsibility right now? People have a HUGE incentive to not get sick these days, since a decent number of them would be fucked if they did.

      It's always moving the goalpost with them, we're never at a spot where personal responsibility is ever taken. A man who's worked hard at a factory his whole life and suddenly succumbs to a genetic disease should have saved up more money in their vision.

      Yes, duh, people need to have personal responsibility. But don't be fooled by the rhetoric, because the fat asses he's bitching about are the kind of people rioting outside of town hall meetings right now.

    • 2 years ago
  • MilchMann
  • ii386
  • settler
    • 0
      settler  
    • I find it interesting that we all are doggedly focused on the health care reform, and completely forgetting about the status quo. Currently, according to PWC, $1.2 trillion of the $2.2 trillion annual health care expenses is wasted money.

      “…was identified as the biggest area of excess, followed by inefficient healthcare administration and the cost of care necessitated by conditions such as obesity, which can be considered preventable by lifestyle changes.”

      As subject_2_change precisely pointed it out, the eating habits aren’t healthy at all and are causing huge costs, which every insured person has to cover for. That’s called solidarity! Help and look after each other.

      People, who are truly sick, where obesity is inherent or occurred because of lack of awareness, should benefit from health care, because they need treatment and meds. But in return they should be automatically obligated of changing their habits to a more sustainable lifestyle, to reduce our (extra emphasize on “our”) premiums. That’s called solidarity!

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • settler:

      Indeed, if we touted a real health care plan, and saved all of that money we could potentially include nutritionists and personal trainers onto what health care covers... who would not go to a nutritionist or personal trainers if it was already payed for by your health insurance... ladies all of you put your hands down... I see more women batting there eyes at muscular personal trainers a week than I care to think about right now.

    • 2 years ago
  • amazonprincess
    • 0
      amazonprincess  
    • On one side we have corporations like MONSANTO to poison our foods, causing serious health problems. On the other side, we have a bunch of Mafia in the health care industry waiting at our doors to usher us onto our death beds - while in their 'care'.

      Americans have lost their desire to live FREELY and have abandoned rational and logical thinking to avoid becoming victims of greedy corporate America, which puts profits ABOVE ALL, including our lives.

    • 2 years ago
  • stephenk29111
    • 0
      stephenk29111  
    • Again not a surprising topic to be brought up. Society in general is to blame, everyone is so in a rush these days that they don't really pay attention to their health or what they eat. For the morning rush to work some people completely skip breakfast or turn to an unhealthy fast food alternative. To the person who brought up organic foods, yes this is a great idea but again society is to blame, its always the healthy foods that cost the most. Just like with hybrid cars, its a ''no no'' in society because you'll look a like a douche bag driving a prius over saving money and benefiting the environment. Hybrid Technology and ethanol based fuels are cheaper easier alternatives but noo people want their big v8's and gas sucking ford f150's. Yes im a bit off topic but thats just an example.

      There's always going to be fat people, and its only getting worse each year. Its pretty disgusting how some parents just indulge their children by shoving food down their faces from Mc Donalds and Taco bell etc. Our culture is going to hell in a hand basket and people wonder why half the world hates us.

    • 2 years ago
  • unimatrix0
    • 0
      unimatrix0  
    • The problem is bigger than individuals changing their diet, isn't it?

      I look at what is around me - Taco Bell, Popeyes's, McDonalds, Taco Time, Burger King, Dominos, Pizza Hut, several chinese take outs and Bento places - all within a few blocks and less than a mile.

      If you are more intelligent and more wealthy than average you can find a Trader Joe's or a Nature's or even a big supermarket with decent organic food. But then you need to take the time to prepare it, and it is more expensive.

      It is easier and cheaper to simply hit the drive - thru. All the incentives favor the cheap, quick and easy alternatives.

      Does not big business bear some responsibility?

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • unimatrix0:

      The healthies way to eat is to eat fruits and raw vegtables mixed with 3-4oz of meat and an egg white or other small serving of protein daily. Pastas, and rice... you throw it in the rice cooker and forget about if for 15 minutes, far less time than you spend sitting in the drive through.
      So you go and spend 30 minutes in the grocery store for 45 minutes once a week, and you open the fridge door a few times a day... how much time do you spend in drive through lines wasting gas every day? It is cheaper, healthier and more expedient to eat at home.

      I mean I spend about 80-100 dollars a week on food, and I eat twice what most of you should, I am on a 4000 cal diet because I run and work out on a daily basis. You can eat for a week on 40-60 from the grocery store and it will be a very healthy week at that... and when you start loosing weight you will be a confident person again that does not feel bad about themselves or there appearance.

    • 2 years ago
  • sgwhites
    • 0
      sgwhites  
    • unimatrix0:

      That's assuming that the grocery store is accessible, and you have transportation to get there.

      There are neighborhoods--generally in poor urban areas--where the nearest grocery store is miles away. The only options are convenience stores or liquor stores, of some very small markets that sell mainly prepackaged food. If you don't have a car, you're stuck with a very long bus ride. Which, okay, you can take the bus but how do you carry a week's worth of food back, especially if you've got a whole family to feed. So, if you can't carry a week's worth at once, that means more than one trip, let's say 30 min-1 hour each way, per week. Then add to that a couple of kids to take care of, or the fact that you've just worked long hours at a physically demanding job, or that you're squeezing this trip in between your first job and your second. Oh, and then you have to find time to cook the food, too.

      I'm not saying personal responsibility doesn't play a role here, because it does. But we should also be extending a hand up to people who want to take better care of themselves, but find themselves in a situation where they face huge obstacles.

      Also, for the record, I don't think that government intervention is the only way to accomplish this; but I do think that without a push from the top (be it intervention or incentives) or a huge shift in societal attitudes pushed from the people, companies aren't likely to change.

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • unimatrix0:

      I think that person should open their eyes and realize they are not the only one suffering, and open a grocery store in their area, even if it is a very small one. It is their ticket to not being to poor to afford transportation. Apathy is a disease of choice in most cases... thinking is the cure.

      "But we should also be extending a hand up to people who want to take better care of themselves, but find themselves in a situation where they face huge obstacles."

      I absolutely agree with that... I am guilty of being one of the people that helps sometimes.

      You mentioned a push from the top... better public transit should be included in this...

    • 2 years ago
  • mojojuju
    • 0
      mojojuju  
    • unimatrix0:

      "If you are more intelligent and more wealthy than average you can find a Trader Joe's or a Nature's or even a big supermarket with decent organic food. But then you need to take the time to prepare it, and it is more expensive."

      Obese burger stuffing people don't need to switch to organic food in order to see great improvements in their health. It's not as if fast food & organic food are the only choices.

      No, they could choose to eat healthier foods regardless of whether it's organic. Instead of the double burger combo meal they could buy some potatoes, greens, & meat & prepare those foods at home.

      And it doesn't cost more. If you glance at the menu of a fast food restaurant, you'll notice these fast food meals can cost around $4 to $8.

      A person can get much more food at a grocery store for what they pay for fast food. Obese people are not fat and unhealthy because they can't afford organic food.

      As far as the time needed to prepare food, as somebody pointed out, it doesn't really take very long. I sure like that I can prepare meals without leaving my house. It doesn't take long to put a salad together, steam some potatoes, or put some chicken breast on the George Foreman. It's not difficult.

      And for families. It can take a bit of time to get kids loaded in the car before even leaving for a fast food drive through.

      People are just fat and unhealthy because of the decisions they make. It doesn't cost much in time or money to be healthy.

    • 2 years ago
  • GodsnLiberals
  • mojojuju
    • 0
      mojojuju  
    • unimatrix0:

      "Does not big business bear some responsibility?"

      Big business owes you nothing. You owe big business nothing.

      Don't like MacDonalds, don't visit them. Eating there is like casting a vote to allow them to stay. Not eating there is like a vote against them staying. If MacDonalds doesn't get enough votes, then they lose and they have to close down their store.

      Then no more MacDonalds.

      But people seem to like MacDonalds very well. MacDonalds is going to stay - because enough people want MacDonalds to stay.

      In terms of their business, all MacDonalds owes to people is more of the food they want. All that people owe MacDonalds is money for the food.

      It's not MacDonald's fault that people are fat. It's people's fault that people are fat.

      Close the MacDonalds and Burger King will cater to the people. Close the Burger King and Wendy's will serve them.

      Close down all "big business" fast food stores and "small business" fast food restaurants will be happy to serve the fast food demand. Maybe some of the "small business" fast food restaurants will grow into "big business" fast food restaurants.

      It's just supply and demand. People want fattening food & they're going to get it.

      And I'd bet that a good amount of people's fatness can be attributed to not just fast food restaurants, but to greasy fatty stuff that they get from their local grocery store. Chips, frozen dinners, breaded chicken wings, corn syrup drinks, bacon - They're going to get fat no matter what you do. They're not going to stop it, even if you cut off their biggest food sources.

      The face needs fed, and it will find the fattening treats no matter where you hide them.

    • 2 years ago
  • PompanoMinded
  • MilchMann
  • PompanoMinded
  • MilchMann
    • 0
      MilchMann  
    • PompanoMinded:

      Oh really, what about people with MS that eat right but can not exercise, women who go through menopause and put on weight uncontrollably no matter what they do... the list goes on.

      My statement stands, that was ignorant.

    • 2 years ago
  • bkrall4
  • locutus
  • mojojuju
    • 0
      mojojuju  
    • PompanoMinded:

      "Unfortunately, obesity for the most part is self-induced."

      Absolutely true. People here are trying to bring up all kinds of exceptions and special circumstances. Sure, some people have a "glandular" problem, but in most cases, people's obesity is the consequence of their own choices.

      Here's an activity for any doubters. Go to a grocery store. Look around at some of the obese people and take note of what's in their shopping carts. You aren't gonna see a bunch of carrots, apples, whole grains, etc...

      Come on people, get a clue here.

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • PompanoMinded:

      Of course we understand that... all encompassing derogatory statements on the other hand are incorrect and lead to further discrimination... it is just like not speaking out against racism or sexism... it is not right and there for should not go unchecked.

    • 2 years ago
  • PompanoMinded
    • 0
      PompanoMinded  
    • PompanoMinded:

      "it is just like not speaking out against racism or sexism" Sorry Milchmann, Last I checked Fat People are not a race. I'm also sorry if my choice of vocabulary offended you. I believe we have a serious problem in this country with obesity. I do not believe that this has much to do with the diseases you mention or one possibly found on "the list that goes on." Americans are driving their own culture to shit. I find it disgusting so many people let themselves go, adding themselves to the stats. Now our children are the fattest in the damn world. Fat people are dumb and the people who feel sorry for them are too. Few of them may have some legitimate problems but MOST of them just EAT TOO MUCH FOOD. (and dont get off their fatasses to exercise.)

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • PompanoMinded:

      You know... I agree with everything you say... except the generalization that fat people are dumb... sick might be a better word, it encompasses those who can not help it without being derogatory and degrades those who can help it. Words are powerful things, and the way in which you use them effects more than you will ever know... in other words you never know what little thing you say is what a person will choose to latch onto, and the verbiage (that's a joke) you have chosen thus far conjures feelings of unrelenting hate... there are people who can not help them selves and will be caught up in it if that mentality spreads... saying someone is sick brings the feeling of wanting to help... and that is what we need to do, we need to help make these people better.

      PS menopause is not a disease... everyone goes through it if they live long enough, including men

    • 2 years ago
  • PompanoMinded
  • heimbachae
    • 0
      heimbachae  
    • Doctors need to stop complaining because it's not OUR fault the DSM keeps getting bigger and bigger. THEY are diagnosing these "illnesses" and so they need to take responsibility to take care of them.

      On the other hand, cut back on the beer and doughnuts people, go take a bike ride and read some manga.

    • 2 years ago
  • biggranny
  • subject_2_change
    • 0
      subject_2_change  
    • Personal responsibility is, of course, a huge part of health, but our society is not one that encourages that. Yes, we all know that we should have a wholesome, home-cooked meal that balances different food types, but how typical is it for the stay-at-home mom to cook these meals and for the family to sit down together and eat it? Likewise, how typical is it for mom and dad to have different work hours while the kids work and play on different schedules, therefore leading to eating habits such as Easy Mac microwavables, fruit snacks, and TV dinners? Societal trends are directly interwoven in our health trends and eating behaviors. Of course, this isn't a conclusive excuse to the lack of personal responsibility, but society is a huge, influencing force.

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • subject_2_change:

      The apple corer, cores and slices an apple in literally less than a second. core a few apples stick them in the fridge, takes 2 minutes and the kids have a healthy snack. There are a ton of things that are easy to do like this.

      http://www.amazon.com/Oxo-Grips-Apple-Corer-Divider/dp/B00004OCKT

      That one is expensive, you can usually find them a the grocery store for $2-3.

      Easy mac... blah, if you have to go with premade for what ever reason... making a sandwich is not that hard, nor does it take much time, but if you must, go with something like a lunchable, much healthier and takes even less effort.

    • 2 years ago
  • mojojuju
    • 0
      mojojuju  
    • subject_2_change:

      "making a sandwich is not that hard, nor does it take much time"

      Yup, making food is not hard. It's an easily acquired skill that's good to have. And it does not take a lot of time to cook. I like using a slow cooker which is also called a crock pot for cooking. In the morning in, I can put the ingredients in, set it on high, and by dinner time, I've got a great meal.

      It's funny, and kind of sad, that people are less and less likely anymore to know how to cook meals for themselves and their families. It's really not that hard & it saves time and money.

    • 2 years ago
  • isnamthere
    • 0
      isnamthere  
    • This is one of the things the teabaggers are screaming about. They don't want no gubment telling them what they have to eat or not eat. They don't want no gubment telling them they can't smoke if they want to. It's all about individual freedom right? Even if they're sucking down YOUR healthcare dollars. you can tie it all down to "personal responsibility," but you know damn well people will not change their behaviors until they're pushed. Good luck trying to convince the right wing with your arguments.

    • 2 years ago
  • MilchMann
    • 0
      MilchMann  
    • isnamthere:

      I disagree with that, a lot of people want to change, they just do not have the support to keep it up, or they set their goals to high at first and fall off their wagon... knowing is only half the battle. People need to stop ignoring the cliches and being so quick to judge.

    • 2 years ago
  • thewallisgirl
  • neonbunny
  • MilchMann
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