svennn wrote:
As far as policy to change things? I'm favor of less regulation but we are also stuck subsidizing healthcare these days. As we shift to more outcome/value based healthcare we will find it much cheaper to fix our food supply than to keep prescribing pills.
Unfortunately in the current market, there is greater net benefit from increasing obesity. There is greater margin on processed foods than fresh; the diet book/'diet' foods & meals/apps/tracking devices/etc is many billions; motorized chairs are a huge moneymaker; etc. The insurance companies are going to get their margin regardless of the total healthcare costs, so the only group to see a benefit are individuals, and there's not a good history there.
What if we allowed the insurers to set policy prices where par = morbid obesity? Then discounts are available for merely obese, and even greater for normal. They must be doing this already using some projected obesity rate, so skew it a little further to incent people.
That then raises all the arguments that obesity permanently or over a long period changes metabolic rate, so almost no-one will be able to move from one category to a more desirable one. Thinking about that, metabolic rate can be changed through pharmacology. Yes, there have been some disastrous substances put out there, but - my father was diagnosed with cancer of the thyroid when he was in his mid-30's, and it was removed. For the rest of his life (~45 yrs), his thyroid function was replaced with various drugs. For the most part, he never had problems, but on occasion when one medicine was superseded by another, there was a period of adjusting the dosage and that was mostly done by examining his weight. I think this is not uncommon to have to adjust for a defective/missing thyroid gland.
It might take a bunch of research to come up a drug appropriate to offset the changes that result from obesity, but what if it could be done? This will offend a lot of people, but it's probably a more desirable outcome for the population as whole than a lot of the marquee illnesses that command the majority of charitable and government funding today.
Brian
Gonna buy a fast car, put on my lead boots, take a long, long drive
I may end up spending all my money, but I'll still be alive