Politics Why Do Obese Patients Get Worse Care? Many Doctors Don’t See Past the Fat

[Denny Crane]

http://www.nytimes.com/2016/09/26/health/obese-patients-health-care.html?_r=0

One in three Americans is obese, a rate that has been steadily growing for more than two decades, but the health care system — in its attitudes, equipment and common practices — is ill prepared, and its practitioners are often unwilling, to treat the rising population of fat patients.

The difficulties range from scales and scanners, like M.R.I. machines that are not built big enough for very heavy people, to surgeons who categorically refuse to give knee or hip replacements to the obese, to drug doses that have not been calibrated for obese patients. The situation is particularly thorny for the more than 15 million Americans who have extreme obesity — a body mass index of 40 or higher — and face a wide range of health concerns.

Part of the problem, both patients and doctors say, is a reluctance to look beyond a fat person’s weight. Patty Nece, 58, of Alexandria, Va., went to an orthopedist because her hip was aching. She had lost nearly 70 pounds and, although she still had a way to go, was feeling good about herself. Until she saw the doctor.

 

[bodyman5000 and 1]

When I was 35 I had to have my gall bladder removed. I needed a heart test done on some machine before my surgery. I was 407lbs and the table built for this 88 billion dollar machine was rated at 400 lbs. I had to stay an extra day in the hospital because they had to schedule a different test for the next day.

It was just a metal table, I wasn't too big to fit just too heavy for it.

At my work we have cheap bumper stands that are rated for 500lbs.

 

[Denny Crane]

Government dietary policy has created this obesity epidemic and it's costing the taxpayer and stupid ObamaCare.

 

[barfo]

Government dietary policy has created this obesity epidemic

Yeah, it doesn't have anything to do with people buying junk food and being couch potatoes. It's that damn government!

Whatever happened to the 'individual responsibility' mantra? Did the big bad government force you to eat twinkies (or whatever it is you have decided is the culprit), Denny?

If the government didn't force you to eat a particular diet, then what are you complaining about? You are a free man, eat what you please, and blame yourself.

barfo

 

[riverman]

Government dietary policy has created this obesity epidemic and it's costing the taxpayer and stupid ObamaCare.

The FDC is profit driven but I disagree with your point...the govt is not in the parenting business...we all have free will and sugar addiction starts early...usually supplied by sugar addicted parents....choices...this isn't N Korea where there's only cabbage and onions on the store shelves...advertisers on TV are more to blame than the govt....they turned candy into cartoons and sold the hell out of it at every entertainment outlet...movies, ballgames, county fairs....the govt doesn't make folks drink gallons of soda pop or eat skittles..people started these habits long before Obama care and we've always had to pay for folks with diabetes, etc...that hasn't really changed other than the fact that we now see what the result of 50 years or so of sugar guzzling does to the human body...

 

[MARIS61]

The comments here are part of the problem. There is simply no general knowledge in our society about the many medical reasons people struggle and often lose the battle with fat and cellulite. Much like a cancerous tumor it often cannot be simply prevented or cured by diet or exercise, or anything yet known to medical science. Drugs are not a solution, so there is no profit in researching it or teaching about it in medical schools.

https://ww2.kqed.org/futureofyou/20...r-that-millions-have-but-no-one-has-heard-of/

 

[Denny Crane]

Yeah, it doesn't have anything to do with people buying junk food and being couch potatoes. It's that damn government!

Whatever happened to the 'individual responsibility' mantra? Did the big bad government force you to eat twinkies (or whatever it is you have decided is the culprit), Denny?

If the government didn't force you to eat a particular diet, then what are you complaining about? You are a free man, eat what you please, and blame yourself.

barfo

When government subsidizes 1/2 of food production, they have a say. Hell, government drives the use of corn for fuel. Ethanol.

It's true that people are eating more calories, but almost all of the increase vs. 30 years ago is pure sugar.

Because of the government, if you were to remove all the foods with high fructose corn syrup, there would be 20%, maybe, of the foods left. Sure people don't educate themselves on what to eat, but they don't expect the foods promoted by government to be toxic.

People weren't obese before the McGovern Commission.

The damage caused is reflected in our health care expenses. Just brilliant social planning in action.

 

[Denny Crane]

The FDC is profit driven but I disagree with your point...the govt is not in the parenting business...we all have free will and sugar addiction starts early...usually supplied by sugar addicted parents....choices...this isn't N Korea where there's only cabbage and onions on the store shelves...advertisers on TV are more to blame than the govt....they turned candy into cartoons and sold the hell out of it at every entertainment outlet...movies, ballgames, county fairs....the govt doesn't make folks drink gallons of soda pop or eat skittles..people started these habits long before Obama care and we've always had to pay for folks with diabetes, etc...that hasn't really changed other than the fact that we now see what the result of 50 years or so of sugar guzzling does to the human body...

Read up on the McGovern Commission.

https://en.m.wikipedia.org/wiki/United_States_Senate_Select_Committee_on_Nutrition_and_Human_Needs

 

[MarAzul]

When I was 35 I had to have my gall bladder removed. I needed a heart test done on some machine before my surgery. I was 407lbs and the table built for this 88 billion dollar machine was rated at 400 lbs. I had to stay an extra day in the hospital because they had to schedule a different test for the next day.

It was just a metal table, I wasn't too big to fit just too heavy for it.

At my work we have cheap bumper stands that are rated for 500lbs.

Walk careful move slowly around the police. I imagine you might look like a bad man. Tiny tables is just a mild concern.

 

[riverman]

Read up on the McGovern Commission.

https://en.m.wikipedia.org/wiki/United_States_Senate_Select_Committee_on_Nutrition_and_Human_Needs

That was a great read, interesting..appreciate the link but still, how many obese people today have read that report....probably very few and although politics and the GNP are linked as far as regulations and funding...they are not the sugar, cattle, tobacco or dairy industries....those lobbyists pay for advertising and profited. Some like tobacco and sugar...were selling sickness really from the start...there are still undernourished kids living on welfare beans and cheese. The folks I see today suffering from obesity, however seem to be doing so by choice, not directives or authority.

 

[riverman]

People weren't obese before the McGovern Commission.

This is simply not correct....I had relatives that were all obese in the early 60's, they visited our farm and had a trunk full of coca cola...I'd never seen people consume soda pop like that...I've seen malnourished and overfed people throughout my travels and life..and for the most part....the malnourished were truly victims and the overfed, just appetite addicted. I'm not saying people aren't obese because of glandular conditions, etc..because there are those people but go to Walmart and look around....these folks eat like it's a sport

 

[Denny Crane]

That was a great read, interesting..appreciate the link but still, how many obese people today have read that report....probably very few and although politics and the GNP are linked as far as regulations and funding...they are not the sugar, cattle, tobacco or dairy industries....those lobbyists pay for advertising and profited. Some like tobacco and sugar...were selling sickness really from the start...there are still undernourished kids living on welfare beans and cheese. The folks I see today suffering from obesity, however seem to be doing so by choice, not directives or authority.

The only people that matters, reading the report, is the food producers. They're filling the stores with government approved foods. Low fat. Farms have bred pigs for lean meat. Without fat, you need 2x the carbs or protein in replacement, to come up with the same number of calories as the high fat diet. Without fat, food tastes like crap, so they add the hfcs and sugars.

Get government involved, and it will get bought.

 

[Denny Crane]

This is simply not correct....I had relatives that were all obese in the early 60's, they visited our farm and had a trunk full of coca cola...I'd never seen people consume soda pop like that...I've seen malnourished and overfed people throughout my travels and life..and for the most part....the malnourished were truly victims and the overfed, just appetite addicted.

The obesity rate was well under 10%, maybe 5% even. It's 33% now. Go ahead and quibble.

 

[bodyman5000 and 1]

Walk careful move slowly around the police. I imagine you might look like a bad man. Tiny tables is just a mild concern.

I'm only 319 now but I'm mmuuuucccccchhhh scarier.

 

[riverman]

I should add that although I've never had food addictions, I have struggled with tobacco since I was 18 and only over the past few years beat it...but like AA it's one day at a time.....a good cigar could ruin all my progress...I'm as flawed as anyone when it comes to that one.

 

[riverman]

The obesity rate was well under 10%, maybe 5% even. It's 33% now. Go ahead and quibble.

It's only natural that it would increase, don't you think? But it existed and grew with an entire culture to support it...no matter who was president

 

[bodyman5000 and 1]

I gained 60lbs after that hospital stay and I was scary, people were scared I'd fall on them and suffocate them.

 

[barfo]

The only people that matters, reading the report, is the food producers. They're filling the stores with government approved foods. Low fat. Farms have bred pigs for lean meat. Without fat, you need 2x the carbs or protein in replacement, to come up with the same number of calories as the high fat diet. Without fat, food tastes like crap, so they add the hfcs and sugars.

Get government involved, and it will get bought.

From your link:

Titled Dietary Goals for the United States, but also known as the "McGovern Report",[10] they suggested that Americans eat less fat, less cholesterol, less refined and processed sugars, and more complex carbohydrates and fiber.

I really don't know what you have to complain about. The government didn't force you to eat a bunch of sugar. They told you not to. You did anyway.

A libertarian should know that responsibility comes with freedom.

barfo

 

[Denny Crane]

It's only natural that it would increase, don't you think? But it existed and grew with an entire culture to support it...no matter who was president

No. it is not natural. Quite the opposite.

They're making food in laboratories and factories, instead of growing it or feeding it.

What happened in 1980? McGovern.

 

[Denny Crane]

From your link:



I really don't know what you have to complain about. The government didn't force you to eat a bunch of sugar. They told you not to. You did anyway.

A libertarian should know that responsibility comes with freedom.

barfo

Keep reading.

Under heavy pressure, the committee held further hearings, and issued a revised set of guidelines in late 1977 which adjusted some of the advice regarding salt and cholesterol and watered down the wording regarding meat consumption.[2]

The government made 80% of food in the stores full of sugar. That's a fact.

 

[riverman]

No. it is not natural. Quite the opposite.

They're making food in laboratories and factories, instead of growing it or feeding it.

What happened in 1980? McGovern.

Nonsense...parents that fill a fridge with soda pop and cupcakes are going to feed them to their kids, and it goes on....it's a culture and a choice no matter how many choose wisely or poorly, which is what these graphs show...they don't show apathy

 

[Denny Crane]

Nonsense...parents that fill a fridge with soda pop and cupcakes are going to feed them to their kids, and it goes on....it's a culture and a choice no matter how many choose wisely or poorly, which is what these graphs show...they don't show apathy

What happened in 1976-1980 to make the graph go way up?

 

[riverman]

Keep reading.

Under heavy pressure, the committee held further hearings, and issued a revised set of guidelines in late 1977 which adjusted some of the advice regarding salt and cholesterol and watered down the wording regarding meat consumption.[2]

The government made 80% of food in the stores full of sugar. That's a fact.

you fail to point out that that 80% is actually not food and with some smart shopping, you can go buy some brocolli

 

[riverman]

What happened in 1976-1980 to make the graph go way up?

apathy and appetites

 

[Denny Crane]

you fail to point out that that 80% is actually not food and with some smart shopping, you can go buy some brocolli

100 years ago, 90% of people in the US lived on farms and grew their own broccoli. Social engineering led to less than 5%. They now trusted the government and got fucked.

What happened in 1976-1980 to radically affect the obesity rates?

 

[Denny Crane]

apathy and appetites

Why 1976-1980 and not before?

 

[barfo]

Keep reading.

Under heavy pressure, the committee held further hearings, and issued a revised set of guidelines in late 1977 which adjusted some of the advice regarding salt and cholesterol and watered down the wording regarding meat consumption.[2]

I don't see the sugar in there.

The government made 80% of food in the stores full of sugar. That's a fact.

That's nonsense. You've earned the name 'Deny' on this one, Deny. Your beloved free market sold you that sugar because there was profit it in, and you ate it because you had the freedom to choose to do so.

barfo

 

[Denny Crane]

I don't see the sugar in there.



That's nonsense. You've earned the name 'Deny' on this one, Deny. Your beloved free market sold you that sugar because there was profit it in, and you ate it because you had the freedom to choose to do so.

barfo

The sugar is the fat on your fat ass.

You clearly need economics lessons.

It's not a free market if government is influencing it, regulating it, or otherwise fucking over the people.

 

[barfo]

100 years ago, 90% of people in the US lived on farms and grew their own broccoli. Social engineering led to less than 5%. They now trusted the government and got fucked.

You got it backwards. People fucked, and that produced a lot of babies, and they grew up and needed to live somewhere. Social engineering? More like uncontrolled population growth.

What happened in 1976-1980 to radically affect the obesity rates?

Well, whatever it was, it wasn't people moving from the farms to the cities. That happened a lot earlier than 1980.

barfo

 

[barfo]

The sugar is the fat on your fat ass.

Sorry, my ass is pretty damn skinny. Guess the government didn't force me to eat all that sugar that they forced you to eat. It's sad the way they discriminated against you. You should sue.

barfo