Posts Tagged ‘public policy’

Is Drug Pricing Policy Really Poised for Change?

December 10, 2023 — Something’s gotta give. In health policy, angst about drug pricing is a constant. Businesses that spend billions to discover and develop new drugs need prices that will be sufficient to pay back the costs incurred for the drugs that succeed, plus the costs of many more that fail. But those prices drive ever higher costs […]

Obesity Care, Stigma, and Medical Ethics

December 9, 2023 — Yesterday, we had the opportunity to offer (and gain) perspective on stigma and discrimination related to obesity. It came in the rich context of a three hour discussion on “Ethics, Equity, and Stigma in Obesity Treatment and Policy.” The Division of Medical Ethics  of NYU School of Medicine co-sponsored the discussion with the Comprehensive Program […]

Does Low Education Bring an Earlier Death?

July 3, 2023 — A new Mendelian randomization study brings a disciplined look at the question of why social and economic status correlates with lifespan. Such questions are hard to answer with certainty, so this new publication in Nature Human Behavior is quite welcome. Chao-Jie Ye and colleagues found a causal association between education and longevity in populations of […]

ECO2023: Ready for a Rethink of Prevention?

May 16, 2023 — For decades, faith that healthy eating and active living would be sufficient to prevent obesity has motivated an impressive array of obesity prevention programs and research. But it has yielded very little in terms of measurable progress for reversing unhealthy trends. In the face of treatment options with dramatic efficacy gains, a crisis of faith […]

The False View of Nutrition vs Obesity Meds

May 14, 2023 — “Fix the food first. Let’s see if these drugs are actually better than real food.” Those words from Robert Lustig (the sugar is poison guy) capture the dissonance obesity medicines are causing for people who believe that obesity is simply the result of bad food. They’re framing care for people with obesity as an obstacle […]

The Cause of Obesity Is Whatever I Say It Is

April 23, 2023 — Camilla Kingdon is president of the Royal College of Paediatrics and Child Health and she has the cause of the whole childhood obesity thing figured out. “The primary cause is clear,” she writes in the Guardian. It’s poverty. She describes how her thinking has evolved: “In the last few years, I have been forced to […]

Preventing Obesity at the Entrance to Causal Pathways

March 23, 2023 — We face a pivot point for public health strategies to prevent obesity. The advent of advanced medicines for obesity treatment brings critical questions. Can we find better strategies for preventing obesity at the entrance to causal pathways for it? Or will we instead depend solely on medical interventions to reduce the harm it causes? These […]

Strong Beliefs and Stronger Analyses in Obesity

February 18, 2023 — Often indirectly, but sometimes directly, we hear from true believers in concepts attached to obesity, nutrition, and public policy. The embedded question is “Why do you doubt this article of faith?” Among the many articles of faith in this realm is the belief that if we deliver just the right education or just the right […]

Stuck on a Partial Understanding of Obesity

September 28, 2022 — The news is full of sound bites about obesity today. The White House Conference on Hunger, Nutrition, and Health is front and center. And the 44-page report that will guide today’s meeting has plenty of good stuff in it. Most notably, it reflects a better, albeit only partial, understanding that obesity is a complex chronic […]

Changing the Subject on Obesity Prevention

September 11, 2022 — Candid conversations about obesity prevention can be difficult. Longstanding prevention strategies are not really working too well. “It’s so hard to change BMI at the population level,” said Marlene Schwartz of Yale’s Rudd Center recently at the National Academy of Sciences. She’s right. We know that many factors all around us are driving more obesity […]