Archive for April, 2023

The Persistent Benefits of Obesity Care

April 20, 2023 — Like never before, we are in the midst of intensive public discourse about obesity, obesity care, and weight loss. Some of it is frivolous and some of it is frankly misleading. But what is really good in the middle of all this is that more people than ever before have options for dealing with obesity […]

Restaurant Menus for Fewer Cancer Deaths?

April 19, 2023 — Breathtaking. That’s the only word we can find to describe the claims coming from a cost effectiveness study of calorie labeling on restaurant menus for preventing cancer deaths. Published yesterday in BMJ Open, this study is already generating headlines like this one: “Thanks to calorie-counting menus, fewer Americans are dying of obesity-related cancers” Making an […]

Causality, Attribution, and Diet Culture

April 18, 2023 — Consider these two competing headlines. In the Washington Post, Kate Cohen tells us “It’s time to cancel diet culture.” Then with a press release about new papers in Nature Medicine, researchers tell us “Most new Type 2 diabetes cases attributable to suboptimal diet.” It’s a fascinating mashup of causality, attribution, and diet culture. On one […]

Looking Away from Care for Severe Obesity

April 17, 2023 — Writing about The Whale in Psychology Today, counselor Kari Anderson tells us the movie brings a story into view that we look away from too often. “Real people with real stories are suffering, feeling trapped in their own bodies and unable to leave their homes,” she writes. This is uncomfortable viewing for many people because, […]

Weight Loss Commerce or Obesity Care?

April 16, 2023 — The availability of advanced medicines for obesity presents a dilemma. On one hand, people are accustomed to both patronizing and disparaging a diverse industry devoted to helping people lose weight. It ranges from the obvious frauds of dietary supplements that promise to help people lose weight quickly and permanently to behavioral support programs like Weight […]

Diabetes and Obesity Jump in the U.S. Military

April 15, 2023 — New surveillance data from the U.S. Defense Health Agency tells us that the pandemic brought a large jump in diabetes, obesity, and eating disorders in the military. Between 2018 and 2021, the prevalence of obesity rose from 16 percent to 19 percent. The incidence of type 2 diabetes jumped by 25 percent and new cases […]

Obesity Care and Health Payers: Getting Real

April 14, 2023 — For decades, we’ve watched growth in the prevalence of obesity and the chronic diseases it causes. Health systems have profited from treating those downstream diseases. Without really thinking about it, public health policy and payers have conspired to deny care for the root cause of those diseases – obesity. Bias inspired some of this because […]

Unwanted Weight Loss Is Cause for Concern (duh)

April 13, 2023 — This news just rolled in from the department of DUH at JAMA Network Open. Unwanted weight loss in older persons is a cause for concern. Perhaps some people have sailed through life without seeing a loved one wither when they suffer a devastating illness. But for most of us, this is not a big news […]

Biosimilars and PBMs: The Joke’s on Us

April 12, 2023 — Two innovations in health systems and health policy – PBMs and biosimilars – are supposed to save us money on drugs. But so far, it looks like the joke is on us. PBMs (pharmacy benefit managers) can actually drive prices higher. Their stated purpose is just the opposite – to drive drug costs down. Adding […]

The Failure of Medical Education on Obesity

April 11, 2023 — Right now, it seems that medical education is failing to prepare students to deal with the most prevalent chronic disease in America – obesity. In an interview with STAT last month, FDA Commissioner Robert Califf noted this failure. “I think it’s a shame that you would need to depend on a pharmaceutical company for an […]