Posts Tagged ‘bariatric surgery’

Costly Hurdles for Bariatric Surgery

May 29, 2018 — It’s hard to say exactly why we’ve put so many hurdles in the way of effective obesity care. But a new analysis in Medical Care shows us that these are costly hurdles. David Kim, David Arterburn, Sean Sullivan, and Anirban Basu find that cost sharing for bariatric surgery is a bad idea. Payers lose $7 […]

Where Is the Excellence in Bariatric Centers of Excellence?

May 14, 2018 — Bariatric centers of excellence now perform most bariatric surgeries. So if all those centers are excellent, how much does it matter where someone has a surgery performed? Quite a bit. A new review by Tapan Mehta and David Allison in JAMA offers an important conclusion. Accreditation might be a good idea, but by itself, it doesn’t […]

Putting Obesity Care Out of Reach Where It’s Needed Most

May 10, 2018 — The picture is stark. Writing in the Atlantic, Olga Khazan says bariatric surgery is out of reach where people need it the most. The five states with the highest rates of self-reported BMI in the range of obesity are WV, MS, AL, AR, and LA. But not one of those states requires insurers to cover […]

Roxane Gay: Beautiful Honesty for an Ugly World

April 28, 2018 — Beautiful honesty is a gift for an ugly world. And yet again, Roxane Gay offers us this gift with a well-crafted essay on her decision to have gastric sleeve surgery in January this year. Mixed Emotions About a Harsh Reality This was not an easy decision. Gay describes the final straw: After more than 15 […]

A Story of Persistence for Health at a Young Age

March 23, 2018 — Recently, we wrote of deep concern about teens with severe obesity who are denied effective obesity care. For insight into why this matters so much, consider the experiences of Maria Caprigno, a proud OAC member and brilliant patient advocate. Her story is one of incredible persistence for health at a very young age. I first […]

Denying Care to Teens with Severe Obesity

March 20, 2018 — Two bits of recent research add to our concern about care denied to teens with severe obesity. One study compares bariatric surgery to intensive medical care. Teens with type 2 diabetes and severe obesity had much better outcomes with bariatric surgery. But another shows that very few teens (0.7%) with severe obesity actually receive the […]

AAFP, Weight Bias, and Misinformation About Obesity

February 24, 2018 — This story is profoundly sad. We were reading about a recent decision by the USPSTF to affirm a broad recommendation for intensive lifestyle programs for obesity. The decision is a good one. Reporting on it by the American Academy of Family Practice (AAFP) unfortunately is not so good. AAFP presents the views of someone they […]

When Lifesaving Medical Care is “Cosmetic”

February 20, 2018 — Shawn Alvarado is not healthy and he knows it. He has a sedentary job, working as a dispatcher for a moving company. Now 53 years old, he’s been gaining weight ever since he was a teen. He weighs almost 500 pounds. He has heart disease, diabetes, and sleep apnea. Without a gastric bypass, his cardiologist […]

Weight Loss Surgery: The False Stigma of an Easy Way Out

February 13, 2018 — An unfounded stigma surrounds weight loss surgery. This prejudice has its primary roots in forgivable ignorance about the reality of a body’s resistance to weight loss. A widespread view is that obesity is a chosen way of life, not an actual disease. The Pattern of a Disease The World Obesity Federation recently published a statement […]

Still Getting Ready to Rethink Obesity

January 20, 2018 — The big JAMA obesity issue came out this week with a promising theme: “Reimagining Obesity in 2018.” It was full of good new data on bariatric surgery. But it was a little short on imagination. At JAMA, judging by the content of this special issue, they’re still not quite ready to rethink obesity. Count Calories, […]