Archive for the ‘Health Policy’ Category

Understanding Obesity: The Glass Is 64% Full

October 20, 2018 — Medscape tells us that 64 percent of physicians believe obesity is a disease. For nurses, the number is a bit smaller – 54%. But believe it or not, this looks like progress to us. More healthcare professionals are coming around. More of them are finally understanding obesity as a disease. Shifting Opinions Five years ago, […]

Obesity Is Getting Worse, Let’s Stay the Course

October 18, 2018 — The more things change, the more they stay the same. French writer Jean-Baptiste Alphonse Karr coined that phrase in 1849. But we can thank the Robert Wood Johnson Foundation and the Trust for America’s Health for keeping it current. They’ve issued the 2018 edition of their annual State of Obesity Report. Therein they tell us – at […]

When Will We Get Real About Bariatric Surgery?

October 17, 2018 — Yesterday, JAMA published five articles about bariatric surgery. Two new research papers. Three editorials. Taken together they present a picture of the compelling benefits of bariatric surgery in patients with both obesity and diabetes. But they also point to the gap between the reality of bariatric surgery and how we’re dealing with it. Cutting the […]

Sleeping Like a Baby to Prevent Obesity

October 16, 2018 — Childhood obesity starts early. By the time infants become toddlers, about 14 percent have obesity. If you read about the priorities for preventing childhood obesity, you’ll find a lot about nutrition. Family activities, too. But sleeping is a mere footnote. This might be a serious mistake, if you go by what recent research says. The Importance […]

The Perfectly Natural Bias for a White Hat

October 15, 2018 — Never underestimate the power of rationalization. Because sounds good, very often, is good enough. Just ask folks selling “natural” foods and drinks. A good story about natural purity fetches premium prices. Also, you should look at new research on white hat bias. Even for researchers, it seems the ends can justify the means. It’s a […]

Day by Day, Overcoming Obesity

October 13, 2018 — My struggle with weight began in my early teens. That was when my doctor prescribed  a birth control medicine to treat dysmenorrhea. But I didn’t know it would cause massive weight gain and hormone fluctuations. I’ve had to work at overcoming obesity every day of my life since then. One of the hardest things about […]

Our Ethical Blind Spot in Access to Obesity Care

October 12, 2018 — There’s no gentle way to express this. We suffer from a huge ethical blind spot regarding access to obesity care. Today, as National Obesity Care Week focuses upon access to care, we must acknowledge just how big this gap is. Of course, we focus a lot on the issue of access to obesity treatment. We […]

Weight Bias and Stigma Have Power to Unite and Divide

October 11, 2018 — Weight bias and stigma hold power over us. It can poison just about everything we might do about obesity. And yet today, it unites us. As we observe National Obesity Care Week, our focus today is squarely upon weight bias. Two Ways to Express Bias Two distinct types of bias work against us. First and […]

Traveling for Bariatric Surgery – Why?

October 10, 2018 — In 2017, about 1.4 million Americans left the U.S. to obtain medical care. And that number will grow by double digits this year. The reasons are many, but mostly it comes down to money. And a significant number of people are traveling for bariatric surgery. A Shameful History of Discrimination Health plans have long history […]

Dieting Doesn’t Work. So Who Cares What You Eat?

October 8, 2018 — Diet is a four letter word. People who hate the word like to point out that it starts with die. So it is that more or less everyone agrees dieting does not work for the long term. But this is where the confusion starts. Because sustainable changes to long-term patterns of diet can make a […]