I think there’s some competition for the last rolldown spot here…
Well now you’re just reinforcing the irony from your earlier post.
I used to be really good at it. I’ve since fallen off of my game, but I can still hang with the best on a good day.
Sorry, that might have been snark, and this is a serious topic. Back to judging formerly fat people are who are on GLP-1. 
Fwiw, all I did was ask Ironclm if she had considered counseling or a psychological approach to what she described as her issues with fixation over food, food noise, etc. I really didn’t mean that as a dig, or anything negative at all. There was a point where I was seeing a counselor 3x/week for almost 3 years as I was working through some personal issues. It was hard work but an absolute game changer. When I gained 30lbs after stopping triathlon, and had a really unhealthy relationship with food and portion sizes, I hired a nutritionist for 6 months to help get me on track. I can absolutely empathize with where Ironclm and thom are coming from. What I thought I knew about being healthy clearly wasn’t working.
I really don’t see seeking help in that way as weakness. If someone was describing having difficulties with feelings of anxiety, I don’t think anyone here would jump down their throats for politely asking “hey, have you ever considered seeing a counselor?”
Given the above, I thought Ironclms response was needlessly rude and over the top. But, clearly I’m not doing a good enough job of accurately conveying my thoughts here if they are eliciting that reaction.
I’m not sure what your excuse is. I thought we were having a pretty reasonable back and forth. I think part of the issue is there are over 150 million obese Americans, and within that group will be the Ironclms and Thom’s of the world, and there will also be people who eat McDonald’s for breakfast and think that’s totally fine.
Ironclm, thom, and a few others seem to think they represent the majority of that 150 million people - people who are lifelong athletes, or people who make sustained lifestyle efforts who, for whatever reason, can’t get their weight under control.
I would argue those folks are in the minority. I argue that because there aren’t a lot of IM finishers like ironclm and thom in the US, but there sure are a hell of a lot of McDonald’s breakfasts sold every day, and there is an undeniable link between regular consumption of over processed foods, inactivity, and obesity.
Do I care if ironclm, thom, or whoever takes GLP1s? No. No judgement here at all. Do I care that in a much broader sense, we will over prescribe these medications, and it will be seen as a good enough half measure in lieu of making broader societal changes? Yes, I absolutely do worry about that. It feels like that would be a short sighted, short term win. And it feels like that’s where we are going full steam ahead.
I really don’t know what else to add to this discussion. Feels like we have been going in circles for a while now. For those who I offended here, all I can offer is an apology, I don’t engage in these discussions to hurt people’s feelings.
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I have really nothing more to add than what I already said. No apology needed for me, but I’ll offer you one in kind. No hard feelings.
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As long as the tax payer doesnt subsidize this access. Before this we had lung cancer from cigarettes epidemic. Many people dont want to pay for illness of people who know what they are doing is wrong and continue anyway.
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We’ve been effective at tackling the smoking epidemic. Down 70+% since the 60s. Done through a combination of awareness, restrictions, public campaign programs, taxes, etc. Smoking was ingrained in culture. And we were able to beat it back over 70%. That was a population-wide shift for the better.
I believe we can do the same for the obesity epidemic.
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its not a half measure
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you (not you) livebin societies that have decided for good or ill (ill) that public health is not an imperative
Food quality is not important, regulation of it is not important, preventing kids from accessing shit food in schools is not important…
In the face of this, societal change with no imperative and no mechanisms for delivery is a pipe dream
It amazes me that apparently a pill to improve health by reducing weight for many is a step to far but the same people will have zero problem with drugs for MH health issues as if thd latter is a real condition but the former is filled full of people who didnt try hard enough
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I’d view that like a business decision.
If it saves the taxpayers money, then I’m for it. That’s a big IF, though.
the tax payer subsidises all sorts of illnesses and to think that this is going to change is a pipedream
disability, medicare, medicaid, indigent, I mean, seriously, the tax payer would be far better off paying for the drugs and getting the people back to work.
of course you could take your view, deny access and have people on a lifetime of benefits…as policy choices go, genius
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this
As the drugs become cheaper it will be a no brainer as far as cost goes. Type II diabetes and such wreck people’s health, often for decades, before it kills them prematurely. So you’re subsidizing that if not the drugs.
My husband is on dialysis at home for the last year. He is overweight according to BMI. The transplant team wants him to drop 20 # BEFORE he gets on the transplant list. I understand the benefits of lower weight with surgical risk etc. He is active, mobile going to the gym 5 days a week, plays golf etc. His blood work is stable. He should be on the list! Despite his weight. He is a mentor at the hospital for other amputees( he is a double). His lifestyle should dictate the transplant, not 20#. Anyone knowing about dialysis knows fluid weight is an issue. No shot for that. He was on ozempic fir many months and it helped. The side effect, for him, was a complete and unstoppable reduction in kidney function thus fucking dialysis. His kidneys were compromised before but this drug was the nail in the coffin. So to speak.
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Ayy I’m so sorry to hear that. I can imagine what you’re going through and I can only say I wish you an expeditious journey and lots of laughs.
Also f*ck BMI as a metric for this. Sending you all good wishes.
That’s a seriously stressful situation. Wishing you and your husband all the best with it.
20lbs at a safe rate of 1-1.5lbs/week is about a 3 month timeframe to get onto the transplant list. At that point he’d be on the list at least.
Also, I don’t mean to suggest you’re not up to speed on your/husband best course of action, and perhaps you’ve got a team in place to cover all aspects – nutritionist-dietitian (to get weight down), plus personal trainer (gym/strengh work, get the metabolism up), plus your docs – all working together in a focused and coordinated way for the next 12-15 weeks?
Again, wishing you the best with the situation.
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Getting people back to work? Many with diabeties are still able to work. I think the solution what we did with smoking is better. Tax hyper processed foods to death.
Everybody dies someday. And it is often the case that something costs money healthcare-wise before you actually kick the bucket. If you pinch pennies on one thing you disagree with, something else will get those people eventually.
synthetic, either you view healthcare as a basic human right or you don’t.
I don’t.
But rights do come with responsibilities, and consequences for violating those responsibilities…
Should GLP’s be “required” if they save the system so much money?
Hmmmm???
Oh yes. Covering all the bases. We are doing our best but I am not the food police at home. I do my best to have healthy choices, high protien, low processed foods available to him. It is hard for him as he is a fast food junkie. We have met with several dieticians over the months and oddly, they stare at me like i am responsible for his diet. No, he is. Also odd that the dietician pushes processed protien bars and drinks.
I dont get it.
Thank you for the wrll wishes!
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I don’t think the “required” part goes with most other things either.
Right to vote (at least in the U.S.) is not required.
Bear arms? If you want.
Free speech / remain silent? Optional.
And as far as healthcare goes, sure I understand there are always tradeoffs in any system.