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Is the U.S. Government about to try and tackle the Obesity Epidemic?

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  • Gisel2015
    Gisel2015 Posts: 4,215 Member
    psychod787 wrote: »
    Came by this today. https://www.congress.gov/bill/117th-congress/senate-bill/596/text?r=5&s=1
    I wonder if this passes, what the reaction will be?

    If the government (aka Congress) could not "tackle" the Covid-19 epidemic, masks wearing, quarantine and vaccination, I doubt it that they would pass any bill to tackle obesity. I hope that I am wrong.
  • lynn_glenmont
    lynn_glenmont Posts: 10,187 Member
    psychod787 wrote: »
    Came by this today. https://www.congress.gov/bill/117th-congress/senate-bill/596/text?r=5&s=1
    I wonder if this passes, what the reaction will be?

    I don't think this is as big a change as you think it is. I haven't actually read the underlying legislation that would be modified, but this certainly reads as though various treatments to address obesity are already eligible for coverage by program(s) under the Social Security Act, and this bill would merely expand the kinds of medical professionals who can be paid for providing those services, IF the patient is referred to them by a physician or primary care provider, AND IF the service is provided on-site (doctor's office, hospital out-patient, or community facility) -- which frankly seems like a step back after a year in which we learned that various health services can be provided remotely (video chats, etc.). It also apparently makes some modification to when certain obesity drugs can be covered, but I'm too lazy to go look at the underlying statute to suss that out.
  • lynn_glenmont
    lynn_glenmont Posts: 10,187 Member
    I'm in for a 30% tax on fast food. Put it directly into the Medicare/Medicaid system.


    There IS help. Remaining ever-the-victim is a personal decision.

    Wouldn't it be better and more cost-effective to put the revenues from the fast food tax into providing healthy, ready-to-eat food and safe exercise spaces for low-income people? Instead of letting them suffer the bad health outcomes and then pay to treat chronic diseases and emergency recurring situations resulting from the chronic diseases?
  • MargaretYakoda
    MargaretYakoda Posts: 2,995 Member
    I'm in for a 30% tax on fast food. Put it directly into the Medicare/Medicaid system.


    There IS help. Remaining ever-the-victim is a personal decision.

    Wouldn't it be better and more cost-effective to put the revenues from the fast food tax into providing healthy, ready-to-eat food and safe exercise spaces for low-income people? Instead of letting them suffer the bad health outcomes and then pay to treat chronic diseases and emergency recurring situations resulting from the chronic diseases?

    When I lived in BC I noticed there were exercise areas in practically every park. Chin-up bars. Balance beams. Running tracks. It was really nice. Every neighborhood had such a park in easy walking distance.

    I suspect it has something to do with universal healthcare. Not directly. But it definitely serves the BC government to keep healthcare costs down, and providing easy access to exercise helps that goal.
  • lmf1012
    lmf1012 Posts: 402 Member
    This certainly is an interesting discussion. There are as many circumstances for obesity as there are obese people and one piece of legislation or a few ideas cannot tackle each one. I think there has to be a multi-faceted approach that tackles as many "groups" as possible as each one has unique factors they face toward getting healthy. Low income groups face financial and potential safety issues that need to be addressed. Some groups do maybe need a kick in the pants somehow. Others need professional support either with a dietician or therapist or both. Everyone here has an opinion on the factors they themselves have experienced or are causes they feel strongly about. None of them are wrong or more/less important than others. I actually think intervention by the government should be more focused on those who need the most help, not those who just need to find some discipline (and yes, there are many of us that just need to get off our butts and do the work)
  • tnh2o
    tnh2o Posts: 161 Member
    "Obesity is like any other mental health issue. IF and WHEN someone WANTS help, they can find it."
    Not so fast. I have some of the best health insurance available and no where to use it because I live in a very rural area. There have been times where I wanted help and was unable to find it. And if you are physically or emotionally unwell you won't have the energy to do much.
    I wish we could separate the health issues of obesity from the focus on appearance.
  • kshama2001
    kshama2001 Posts: 28,055 Member
    edited July 2021
    Can I suggest that this thread really belongs in the Debate forum? It would be nice if heated arguments about what governments should do and how other people should behave were kept to that forum, IMHO.

    You can go to the first post in this thread and Flag > Report > Other and request that it be moved.

    I considered doing that myself but was curious to see if we'd get more participants in this discussion here in General.
  • NoLimitFemme
    NoLimitFemme Posts: 118 Member
    AnnPT77 wrote: »
    Theoldguy1 wrote: »
    psychod787 wrote: »
    Mellouk89 wrote: »
    Japan has an obesity rate of 4%, the US has a morbid obesity rate of 8%.

    Also who prevents anyone from walking? You can choose to walk or you can choose not to walk. If you live in a big city, it's often better to walk instead spending so much money on a car.

    Are we saying there's a culture that is against walking ? :D It's an individual choice, I think.

    Edit : And yes individualism vs collectivism is the most important aspect.

    No doubt that walking in a larger city is easier. Compared to Japan, America is far more spread out. I live in a rural area, and for me to walk to the store would be nearly 9 miles round trip. So, we have a car culture. In a more urban environment, Japanese walk to public transport, to the market... ect ect. Yes, there is a culture against walking in America... Just look at the people who stand on an escalator vs. taking the stairs. The stairs would be quicker sometimes, yet many choose to not take them. Watch people trying to get a parking spot at a store, many will drive around for a good while until they find a "close" spot. If they had just parked further away, they would have been in the store quicker. So yes, there is a culture against physical activity in America......

    Never mind the store, how about the people that do that *kitten* at the gym?

    Personally I look for where the furthest car is parked, then park 100 ft. further away. Hate door dings on my vehicles.

    Disabled people use gyms too.
    Just sayin’

    Yes. But I see the same thing at my rowing club, where *I know* that specific people are not mobility disabled. (I know whose cars those are.) Folks park close to the boathouse, then do a vigorous full-body workout on the water. Even at times when we've encouraged them to park in the parking lot a few hundred yards away, that's been true. It's curious. We've given up - created more parking near the boathouse.

    Off topic 🤪 .... I just want more info on the rowing club. I know nothing about the sport but Im quite curious about it. I think its definitely something I'd enjoy.
  • Mellouk89
    Mellouk89 Posts: 469 Member
    Their suicide rate is not particularly astronomic compared to other countries, you can see for yourself : https://en.wikipedia.org/wiki/List_of_countries_by_suicide_rate

    And suicide is a multifaceted problem, I know because in the province I live in we've had some of the worst suicide rates in the world.

    The United States also has a big suicide problem, let's not forget that.

  • AnnPT77
    AnnPT77 Posts: 37,029 Member
    AnnPT77 wrote: »
    Theoldguy1 wrote: »
    psychod787 wrote: »
    Mellouk89 wrote: »
    Japan has an obesity rate of 4%, the US has a morbid obesity rate of 8%.

    Also who prevents anyone from walking? You can choose to walk or you can choose not to walk. If you live in a big city, it's often better to walk instead spending so much money on a car.

    Are we saying there's a culture that is against walking ? :D It's an individual choice, I think.

    Edit : And yes individualism vs collectivism is the most important aspect.

    No doubt that walking in a larger city is easier. Compared to Japan, America is far more spread out. I live in a rural area, and for me to walk to the store would be nearly 9 miles round trip. So, we have a car culture. In a more urban environment, Japanese walk to public transport, to the market... ect ect. Yes, there is a culture against walking in America... Just look at the people who stand on an escalator vs. taking the stairs. The stairs would be quicker sometimes, yet many choose to not take them. Watch people trying to get a parking spot at a store, many will drive around for a good while until they find a "close" spot. If they had just parked further away, they would have been in the store quicker. So yes, there is a culture against physical activity in America......

    Never mind the store, how about the people that do that *kitten* at the gym?

    Personally I look for where the furthest car is parked, then park 100 ft. further away. Hate door dings on my vehicles.

    Disabled people use gyms too.
    Just sayin’

    Yes. But I see the same thing at my rowing club, where *I know* that specific people are not mobility disabled. (I know whose cars those are.) Folks park close to the boathouse, then do a vigorous full-body workout on the water. Even at times when we've encouraged them to park in the parking lot a few hundred yards away, that's been true. It's curious. We've given up - created more parking near the boathouse.

    Off topic 🤪 .... I just want more info on the rowing club. I know nothing about the sport but Im quite curious about it. I think its definitely something I'd enjoy.

    Happy to talk about it @NoLimitFemme, but it's off-topic on this thread. Send me a friend request and PM me about it, or start a thread in the Exercise part of the Community and tag me, or something like that. 🙂
  • ythannah
    ythannah Posts: 4,393 Member
    Theoldguy1 wrote: »
    ythannah wrote: »
    psychod787 wrote: »
    Combine this with a tax on hyperprocessed , energy dense, hyperpalatable foods.

    Hey. I'm not obese or overweight. Why do I have to pay extra for my treats? :'(

    Maybe the same reason you pay extra for your alcohol, even though you're not an alcoholic?

    Ha! I'm a non-drinker. :p

    Extra taxes on booze here go to the government coffers. It's possible that some of the money trickles down indirectly to addiction services but there definitely isn't a direct funding pathway.
  • ythannah
    ythannah Posts: 4,393 Member
    kshama2001 wrote: »
    ythannah wrote: »
    psychod787 wrote: »
    Combine this with a tax on hyperprocessed , energy dense, hyperpalatable foods.

    Hey. I'm not obese or overweight. Why do I have to pay extra for my treats? :'(

    I don't have children but have no problem paying taxes to fund schools.

    I don't have children either but I'm happy to educate the doctors, nurses and personal support workers who will be looking after me in my dotage.

    We already have a treat tax here anyway. I pay tax on a single muffin purchased to consume with my cup of coffee, yet a six-pack of muffins from the same vendor is deemed "grocery = essential" and is not taxed.
  • lemurcat2
    lemurcat2 Posts: 7,887 Member
    AnnPT77 wrote: »
    Mellouk89 wrote: »
    Japan has an obesity rate of 4%, the US has a morbid obesity rate of 8%.

    Also who prevents anyone from walking? You can choose to walk or you can choose not to walk. If you live in a big city, it's often better to walk instead spending so much money on a car.

    Are we saying there's a culture that is against walking ? :D It's an individual choice, I think.

    Edit : And yes individualism vs collectivism is the most important aspect.

    I’m not American but I’m sure you guys have similar problems with most places being super inaccessible for walkers and cyclists. We have no separate bike lanes in most places and a lot of drivers are very aggressive towards cyclists. A lot of more rural areas don’t even have footpaths or streetlights!

    Where I live (midsized US city, Great Lakes state) there are many areas that are both reasonable safe to walk (crime-wise and traffic-wise), with reasonable facilities for walking (sidewalks, cut curbs, pedestrian signals at intersections, etc.) . . . and very nearly no one walking. That's true even in areas where residential areas are fairly close to business areas (i.e., within a few-block radius). Hardly anyone walks, as a form of transportation. In commercial (detached mall type) areas, it's common to see someone drive a car across the parking area from one store to another, maybe a hundred or two meters, rather than parking and walking across the lot, even when most people aren't buying un-carry-able things.

    Why? I'm sure it's complicated. But I think it's not a walking culture, as a generality.

    It really depends on where one lives, though. I think there's a walking culture where I live. I didn't have a car for years and know plenty of people who don't now.
  • AnnPT77
    AnnPT77 Posts: 37,029 Member
    lemurcat2 wrote: »
    AnnPT77 wrote: »
    Mellouk89 wrote: »
    Japan has an obesity rate of 4%, the US has a morbid obesity rate of 8%.

    Also who prevents anyone from walking? You can choose to walk or you can choose not to walk. If you live in a big city, it's often better to walk instead spending so much money on a car.

    Are we saying there's a culture that is against walking ? :D It's an individual choice, I think.

    Edit : And yes individualism vs collectivism is the most important aspect.

    I’m not American but I’m sure you guys have similar problems with most places being super inaccessible for walkers and cyclists. We have no separate bike lanes in most places and a lot of drivers are very aggressive towards cyclists. A lot of more rural areas don’t even have footpaths or streetlights!

    Where I live (midsized US city, Great Lakes state) there are many areas that are both reasonable safe to walk (crime-wise and traffic-wise), with reasonable facilities for walking (sidewalks, cut curbs, pedestrian signals at intersections, etc.) . . . and very nearly no one walking. That's true even in areas where residential areas are fairly close to business areas (i.e., within a few-block radius). Hardly anyone walks, as a form of transportation. In commercial (detached mall type) areas, it's common to see someone drive a car across the parking area from one store to another, maybe a hundred or two meters, rather than parking and walking across the lot, even when most people aren't buying un-carry-able things.

    Why? I'm sure it's complicated. But I think it's not a walking culture, as a generality.

    It really depends on where one lives, though. I think there's a walking culture where I live. I didn't have a car for years and know plenty of people who don't now.

    Of course. I could've phrased that better. I meant to be saying that where I live is not a walking culture, generally . . . not that nowhere in the US has a walking culture.

    The main point was that even though here we have the facilities in some parts of my urban area so that it's reasonably walkable (unlike where the person I was responding to lives, seemingly), people here don't generally walk anyway. In a nearby neighborhood where I lived previously, one neighbor was a recreational runner . . . but would drive to the party store that was around a block away (ultra low traffic route), which I found kind of baffling.

    As an aside: I'm in Michigan, which I think perhaps still has a stronger "car culture" due to its history. In this city (as in several others in the state) the auto companies were one of the major employers, every employee owned at least one of their employer's cars, some still see buying non-domestic cars as bad behavior, etc. Voluntarily not driving would be considered fairly eccentric by many; not being able to afford a car seen as quite economically unfortunate. For most of my married life, we owned only one car, and that was considered mildly eccentric by many people, since we could've afforded two.
  • AnnPT77
    AnnPT77 Posts: 37,029 Member
    ythannah wrote: »
    psychod787 wrote: »
    Combine this with a tax on hyperprocessed , energy dense, hyperpalatable foods.

    Hey. I'm not obese or overweight. Why do I have to pay extra for my treats? :'(

    Don't get me started on the time our county tried to implement a "soda tax". They said to combat obesity, but it applied to zero-calorie diet sodas as well. It didn't last long before the outrage forced them to repeal it...people will tolerate a certain amount of government oversight, but you can pry my Coke Zero out of my cold, dead hands.

    That's where I feel conversations like this always go: it starts out about obesity, but if we're just taxing hyper-processed foods like diet soda then it's clearly not about obesity, it's just more taxes.

    I'm not opposed to more taxes per se, but let's be honest: if I'm paying taxes for zero calorie flavored liquids, it's not an anti-obesity measure.

    I agree with your core point.

    As a tiny quibble: I also think that legislation tends to be a bit broad-brush, and probably needs to be (sometimes) in order to create fairly bright lines that are manageable to implement.

    As a bit of context, my state, decades back, was among the first to require a deposit on containers for certain beverages (officially had to do with reducing roadside litter, and was massively helpful in doing so). Creating clear rules was not necessarily easy, given the range of liquid-y things in cans/bottles that run a pretty smooth continuum from drinkable to eatable.

    The rules (in my loose understanding) were that the deposit applied to carbonated beverages, not to still beverages. With the big companies, at first, it was "let the games begin", i.e., "how can we manipulate this in our favor?" At a small producer/marketer level, there was some confusion (if the apple cider has a little bit of fizz, sometimes, where does it fall?). Among consumers, there was some WTH: Sweetened teas or juices in aluminum cans, no deposit; soda pop or beer in exact same cans, deposit.

    Things settled down eventually, and the same basic rules are still in effect. Personally, I'm still a little in the WTH camp about some of the consequences, but the law decently accomplished its goals, and everyone's used to it now.

    In the "sweetened bevs" zone, I can imagine some of the same effects: Apple juice (sweet, but no added sugar) counts? Unsweetened cranberry juice? Sweetened with an artificial sweetener that's only slightly caloric? Sweetened with a "natural" ingredient that's frankly added to make the thing sweeter (e.g., white grape juice, often)? The baby shouldn't go out with the bathwater, but we might be willing to toss a bath toy or two, just to keep things simple.

    I don't have a horse in this soda-tax race, but do feel that in general sidewalk quarterbacking legislation/regulation is probably quite a bit easier than formulating it in workable ways . . . at least that general concept is true in a lot of cases when us everyday folks have "common sense" opinions about many things done by genuine experts who have more information, knowledge, context.
  • tnh2o
    tnh2o Posts: 161 Member
    Money - sometimes in the form of taxes or credits - is one way the government uses to encourage particular behaviors. The results can be a bit of a mixed bag. I try to reduce my own sugar intake (and that includes the honey made from my neighborhood bees) and try to reuse and recycle as much as possible but could really do better.
  • janejellyroll
    janejellyroll Posts: 25,763 Member
    AnnPT77 wrote: »
    ythannah wrote: »
    psychod787 wrote: »
    Combine this with a tax on hyperprocessed , energy dense, hyperpalatable foods.

    Hey. I'm not obese or overweight. Why do I have to pay extra for my treats? :'(

    Don't get me started on the time our county tried to implement a "soda tax". They said to combat obesity, but it applied to zero-calorie diet sodas as well. It didn't last long before the outrage forced them to repeal it...people will tolerate a certain amount of government oversight, but you can pry my Coke Zero out of my cold, dead hands.

    That's where I feel conversations like this always go: it starts out about obesity, but if we're just taxing hyper-processed foods like diet soda then it's clearly not about obesity, it's just more taxes.

    I'm not opposed to more taxes per se, but let's be honest: if I'm paying taxes for zero calorie flavored liquids, it's not an anti-obesity measure.

    I agree with your core point.

    As a tiny quibble: I also think that legislation tends to be a bit broad-brush, and probably needs to be (sometimes) in order to create fairly bright lines that are manageable to implement.

    As a bit of context, my state, decades back, was among the first to require a deposit on containers for certain beverages (officially had to do with reducing roadside litter, and was massively helpful in doing so). Creating clear rules was not necessarily easy, given the range of liquid-y things in cans/bottles that run a pretty smooth continuum from drinkable to eatable.

    The rules (in my loose understanding) were that the deposit applied to carbonated beverages, not to still beverages. With the big companies, at first, it was "let the games begin", i.e., "how can we manipulate this in our favor?" At a small producer/marketer level, there was some confusion (if the apple cider has a little bit of fizz, sometimes, where does it fall?). Among consumers, there was some WTH: Sweetened teas or juices in aluminum cans, no deposit; soda pop or beer in exact same cans, deposit.

    Things settled down eventually, and the same basic rules are still in effect. Personally, I'm still a little in the WTH camp about some of the consequences, but the law decently accomplished its goals, and everyone's used to it now.

    In the "sweetened bevs" zone, I can imagine some of the same effects: Apple juice (sweet, but no added sugar) counts? Unsweetened cranberry juice? Sweetened with an artificial sweetener that's only slightly caloric? Sweetened with a "natural" ingredient that's frankly added to make the thing sweeter (e.g., white grape juice, often)? The baby shouldn't go out with the bathwater, but we might be willing to toss a bath toy or two, just to keep things simple.

    I don't have a horse in this soda-tax race, but do feel that in general sidewalk quarterbacking legislation/regulation is probably quite a bit easier than formulating it in workable ways . . . at least that general concept is true in a lot of cases when us everyday folks have "common sense" opinions about many things done by genuine experts who have more information, knowledge, context.

    I agree that it would be impractically complicated to try to create a tax policy for beverages that successfully navigates all the various drinks we've created. I don't even think we'd have to -- I wouldn't object to a tax on flavored beverages as such, since they're a luxury item. I just bristle at it being touted as an anti-obesity measure when it includes so many things that aren't factors in weight gain.

    It's just my natural contrariness coming out.