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Dublin: 10 °C Thursday 23 May, 2013

Column: If you want to eat fatty foods go ahead – but you should pay for the consequences

New York City Mayor Michael Bloomberg had his proposal to outlaw big sugary drinks shot down – but the incident has nevertheless raised questions about where personal freedom ends and government obligation begins, writes Aaron McKenna.

Aaron McKenna

NEW YORK CITY’S health-minded Mayor Michael Bloomberg had a proposal to outlaw big sugary drinks shot down by a state Supreme Court Judge hours before it was to come into effect. The plan had been to limit the sale of drinks in sizes over 16 ounces (473 millilitres) in places like fast food restaurants and at petrol stations. The judge said that it was arbitrary and overreaching government interference into personal freedom.

Like ground-breaking smoking bans before it, this law was being watched around the world by health policy makers who are trying to get to grips with the Battle of the Bulge that is engrossing the western hemisphere. Rich and largely sedentary populations combined with easy access to cheap, calorific food is having a visible impact on waistlines and health spending in many countries.

The cost of treating obesity

Nearly 36 per cent of US adults and 17 per cent of US children aged 2 to 19 years old are obese, according to the Center for Disease Control (CDC); with costs associated of about $147 billion in 2009. Here at home we’re experiencing similar figures for obesity, and the state body Safefood reckons that treating obesity is costing some €400 million a year; with a further €700 million in indirect costs around related illnesses, absenteeism and premature deaths.

The CDC reckoned in a November 2012 study that sugary drinks account for six per cent of American adults’ calorie intake, and a more significant portion among children. The average American adult consumed 44.6 gallons (167 litres) of carbonated drinks in 2011. It may sound like a lot, but it’s easy to rack up that kind of consumption when fast food restaurants, grocery stores and petrol stations will sell you drinks from fountains of up to and even beyond 64 ounces (1.9 litres) for around $2.

There’s a lot more to fighting obesity than just tackling the size of soft drinks, but like making smokers go stand out in the rain the law to limit the size of beverages sold in fountains to 16 ounces was touted as a gentle prod in the right direction. Buying a coke wasn’t intended to become like trying to buy a packet of Solpadine is nowadays here. Consumers could always buy two or three or four drinks if they really wanted that much, though they would inevitably end up paying more as the price difference between sizes is only a few cents.

Personal freedom v government interference

I viewed this proposed law as something that both makes good sense and is utterly appalling at the same time. As a (mostly) libertarian thinker where social issues are concerned, I believe that we all have a right to do as we please free from interference from government or others; so long as we don’t harm anyone in the process and we can afford it.

In general when gorging oneself on massive amounts of calorific soft drinks or fatty foods, no harm is done to others. As a libertarian I’d say go right ahead and enjoy that slow disintegration. Unfortunately, when it comes to ‘affording’ the vice of gluttony it’s not so clear cut. It’s cheap to get fat, but the healthcare and other costs associated with it are spread around in our beautiful little socialist paradise.

If, heaven forbid, you and I are rushed to A&E some evening, you because of a genetically inherited heart condition and me because I finally ate that one spare rib I was away from having one; we get charged the same fee at the door and for our stay and care. While there’s a very real and substantial material hazard associated with over eating and other pursuits such as smoking, there’s very little moral hazard associated with the monetary fallout.

That’s why a fine small government advocate like myself can look positively on a law that is nanny stateism at its best: government trying to control your body. Well, if government is paying for the damage you do to it then it starts to make sense for them to have a say in how you manage it.

If government is paying, it has a say

This is one of the troubles with a big nanny state: The more we expect government to do for us, the less control we inevitably have over what we do and how we do it. Just as I believe in the right to freedom of speech, no matter what stupidity you want to spout (and hey, one could argue it works well for me); I believe in the right to gorge oneself to excess if that is your preferred pastime. But, I think you ought to pay for it.

We’re all familiar with ever skyrocketing health insurance costs, and medical inflation will probably become a watchword of the public lexicon once the government introduces mandatory universal insurance in the next few years. How and ever health insurance is blind to whether or not you’re a smoker, a drinker or obese.

To an extent in a socialised system it is right and proper that people with, for example, congenital conditions are protected from massive costs that are not of their making. We already load younger health insurance customers with the higher costs associated with older ones, and go so far as to spread this between companies in a state-regulated system.

It is not proper however that people with more self-inflicted ills should pay the same as the health freaks among us. In the US people with a body mass index of 30 or higher, considered obese, pay an average of 22 per cent more to buy health insurance according to data released by eHealthInsurance.com from 2012. Smokers pay on average 14 per cent more, and female smokers in particular are hard hit with a 22 per cent premium on female non-smokers.

The cost of obesity being spread among healthier individuals

Under Obamacare, the US version of mandatory health insurance, smokers will still be liable of premiums of up to 50 per cent more than non-smokers; but people who are obese and overweight will no longer pay extra for their gluttony. This will inevitably lead to the cost being spread around among healthier individuals, as we do it here today.

In Ireland there are no premiums for obese individuals, nor are there plans for any. At a recent Oireachtas health committee meeting about rising insurance costs consultant oncologist and Senator Professor John Crown asked whether more of a premium could be put on smoking. The insurers said they would be open to it, but it would demand the Department of Health making legislative changes to allow it. This should be done, particularly in an era of universal health insurance.

Paying for bad habits through health insurance, that represents the true costs of bad habits, is a lot better than letting the government control our fluid intakes, as the old Dr Strangelove joke goes.

Aaron McKenna is a businessman and a columnist for TheJournal.ie. He is also involved in activism in his local area. You can find out more about him at aaronmckenna.com or follow him on Twitter @aaronmckenna. To read more columns by Aaron click here.

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Comments (62 Comments)

  • This is what’s so wrong with America and it’s starting here too. Corporate USA makes vast profits from high calorie, low nutrition food, then pharmaceutical firms profit from medications to control diabetes and other junk food related health problems, and all sorts of scams have developed around weight loss supplements. People need to think about what they put in their stomachs, and not glorify programmes like Man V Food. It’s a very sick world in so many ways….

    Reply
    • Very true – obese people need to start taking personal responsibility.

      I heard of one case where an obese person tried all the fad diets to no avail, and was continually looking for someone or something else to blame.

      It was only when they started facing the reality that every single ounce of fat in their body entered through a 2 inch hole (and nobody else had put it through that hole) that their mindset changed and the pounds started to fly off.

      The 2 inch hole scenario isn’t a bad way of visualing it – it worked for them anyway.

      Reply
    • Eleen 16/03/13 #

      People need to take responsibility, but the bigger issue I think is that people are suffering from malnutrition because most cheap food nowadays have next to nothing in nutritional value.

      You need to pay if you want proper food. If you don’t have much money to spend on food, you end up having to settle for crap. Processed foods full of salt and chemicals, and vegetables that are sprayed to look ripe and have nothing but water and chemicals in them.

      We need real food, and we need everybody to be able to afford and access it. That, and people need to start taking food and nutrition seriously and learning about it.

      Reply
  • Agree with that. Basically, if you are anti the nanny state then you have got to be pro paying for the risks you take?

    Reply
  • Sugary drinks are not a fatty food!! They are a sugary/ carb loaded food. We have to stop this association with fat (obesity) and fatty foods (avocados, olives etc..). It’s not the fatty foods that are causing obesity it’s the high sugar, poor carb options. People need fats to live.. Not sugary carbs!

    Reply
  • Sarah J 16/03/13 #

    I think it’s very easy to view obesity as a lifestyle choice or a decision that people make for themselves. Ok, to an extent it is, but we should also try to be aware of other factors. There is a flood of so-called healthy or diet food out there which is pushed by a massive marketing budget, examples being low fat food that is high in either sugar or sugar substitutes, which creates craving for more food. I also think that many people (and until about 5 years ago, I’d have included myself in this) lack knowledge about basic nutrition, such as portion sizes and how different food types affect the human body. Education is the way to cure obesity, as it empowers the consumer, not banning products or adding a tax on them.

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  • Theoretically I would be all for this , but in order to encourage healthier eating profits going from a fat / sugar tax should go to subsidising healthier foods , often more expensive , which of course it won’t . As a result all that will happen is that the price of food will go up raising inflation and the ones eating the unhealthy food will continue to do so . It will have to e a little more nuanced than just a fat tax

    Reply
  • People need to realise that the food industry is just that: an industry. It can only maximise its profits if we consume more of its products. This also goes for the health food industry ( who tend to grossly over-exaggerate the benefits of their products: the healthier a food appears – the more sales).
    Remember when it was 3 square meals a day? Now we have Elevenises, “beat the 3pm slump”, after dinner snacks. The breakfast cereal industry telling us that breakfast is the most important meal of the day ( true for kids concentration but not for teens or adults). It’s all marketing, inventing new reasons to eat. Constant eating puts your body in an anabolic state, which is unhealthy after your mid twenties.

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  • A 2008 study in Holland compared the lifetime medical costs of healthy people to obese people and to smokers. It found that the average lifetime cost of healthcare for healthy people was higher than those of both smokers and obese people due to a decreased life expectancy of the latter two.

    http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.0050029

    So claiming that you should pay for your lifestyle is all very good until you actually look at the figures which show that healthy people should be paying more to support their extended life. While reducing obesity and smoking is a good thing to aim for, it will only improve quality of life and is not an equitable way to make the finances balance.

    Reply
    • censored 17/03/13 #

      The mistake in the article is this: healthy people may cost more over their lifetime, but they also contribute more. There should be a tax on this type of 1 dimensional limited thinking!

      Reply
  • If people want free or subsidised health care then they must be made responsible for taking care of their health, failing which the system will continue to be hopelessly abused. My only concern is the misinformation we get about food and the stupidity of a State that wished to ban advertising cheese! Also, remember that silly fad that said eggs were bad for cholesterol? Cheese, healthy fats and fresh meat in healthy quantities is essential for good health and prevents many diseases. Sugar and processed meats and carbohydrates should be taxed to the hilt to pay for the damage they cause as they wreck havoc with the body and result in many diseases requiring long term and expensive care, diabetes being just one example.

    Reply
  • Bringing fat into it via a story about soft drinks is…odd. Whatever they are, they are not fatty. But anyway, this article is NOT about fat, or sugar, or obesity, or health or even whether those who make poor decisions (stand up anyone who never made a poor decision…) should pay.

    No, not about any of those. This article is about normalising the notion that our health system should be privitised, that we should all be forced to buy health insurance, which would, of course, be provided by private for-profit companies. This idea appalls me, it horrifies me. It genuinely makes me glad I am not young so I probably won’t live to see the full horror it wreaks on people’s lives. I don’t think I am alone in this view.

    You don’t see this total shift in the way we provide health care discussed often enough – what you DO see is articles like this – which slip the idea in and try to normalise it while ostensibly discussing something else that will get people all riled up in righteous indignation.

    So, you are happy to see smokers, fat people etc have to pay more, right? What about people who’s jobs are risky (after all they could work at something else)? Or people who drive a lot, or drive fast (after all they could take the bus, or the trina)? What about people with disabilities (After all…. oh, wait, no)? These people also ‘cost’ more – when do you decide that these scroungers should pay more? At what point is someone too fat, too brave, too disabled to be a normal insurance risk? Who decides?

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    • Sarah J 16/03/13 #

      Katie, I completely agree with what you say about about risk and privatisation of health services.
      But what you say about soft drinks and fat… While they don’t contain fat, they have a huge amount of carbohydrates in the form of sugar. If the body does not burn off this energy source, it will be stored as fat. And the fact is, many people do not realise that they are not doing enough exercise to burn off the energy contained in soft drinks.

      Reply
    • @sarah Thanks for the lesson, but I know that. I was being somewhat facetious. Pointing out that the shaky premise on which an article is based should not be confused with the purpose of the article.

      Reply
    • @Katie Does. You are off target re soft drinks and associated links to health, trying to be facetious or not. The rest of your post is very well written. Your reply to Sarah is just rude as she also makes a valid point.

      Reply
    • @sarah, I apologise unreservedly, that was very rude and unnecessary and I am sorry.

      @rp Thank you for pointing out my rudeness/

      I’ve reread my first sentence and it does sound like I am fairly ignorant of the connection between sugar and obesity. I really am not but I did express that very poorly.

      I think what I was trying (badly) to point out was this approach to evangelising for an idea:
      1. Take some story that is topical.
      2. Attach a message to it that suits your purpose
      3. Get people focused on something that seems unjust
      4. While they are all worked up about that injustice and not really paying attention to anything else, quietly plant another much more radical concept as being ‘normal’, usually related to an issue that if brought up in isolation would be much more controversial.

      Reply
    • And just to add – this approach appears to have worked beautifully for the author. Most people here are talking about obesity and food and nutrition. Hardly anyone is talking about the real subject of the article – a privatised health system, where people’s health is at the mercy of for-profit companies who will decide who they cover, when and for what.

      Reply
    • mattoid 16/03/13 #

      Katie – its obvious that you have an ethical problem with private healthcare but the bottom line is that modern healthcare is shockingly expensive. Who pays for it?
      Without private healthcare the national healthcare bill would be far higher than the taxpayer would be willing or able to pay, leading to vastly reduced services. Is that what you really want?

      Reply
    • I have no ethical problem with private healthcare. I have a very big problem with compulsory private healthcare. I have an even bigger problem with a compulsory private healthcare system where there is a loading applied for the more vulnerable.

      I agree that our system is broken, but I don’t believe that compulsory for-profit private healthcare is going to fix it.

      I look at the US where health care costs multiple times what it costs here, not less, and has poorer outcomes (unless you are rich) and fail to see how it is better than ours. And although people who advocate the private route are at pains to say that’s the wrong comparison, that there are other models, I think it is no accident that US companies are currently so keen to get a foothold in our market.

      Reply
    • Michael 16/03/13 #

      The US does not have private healthcare. It’s government regulated healthcare. And guess what? It’s outrageously expensive

      Reply
    • censored 17/03/13 #

      The US healthcare system does cost more overall than what we have in Europe (something like 20% of GDP versus 10%). However, the comparison is far more complex than you appear to realize and Ireland is in the worst of both worlds: we have the worst of the European system and the worst of the US system combined.

      There will never be a perfect healthcare system, but for those who have health insurance the US system is pretty good. Many in the US don’t want to be forced to buy health insurance in spite of the fact that they have much lower income tax. Obamacare requires them to do this or be fined.

      As for the costs. If you look at the figures it comes from two places: very expensive (and ill advised) treatments in the last months of life, and abuses like $2 aspirins. There was a comment on one of these forums recently about a 650 bill for using a trolley for 5 minutes in an Irish hospital (under VHI of course). Same difference.

      Reply
  • If people want to eat, drink or smoke themselves to death, let them go ahead – they are expressing that which makes us human – individual freedom. Winston Churchill ate, smoked and drank too much. Adolf Hitler had none of these vices.

    Reply
    • But if your turn into a giant wheezing puddle of fat that costs the state hundreds of thousands a year why should I pay the same amount of tax for health care when I look after myself?

      Reply
    • Actually it’s not really a simple equation. Look at it this way.

      John is a really nice guy, funny, loving, a great father but, frankly, a slob. He eats to much, is overweight, smokes, takes no exercise. He is a regular at his GP and has the occasional visit to hospital which turns more regular as he ages. He dies aged 50 of a heart attack. his family are devastated, but many people kinda shrug and say ‘Well, y’know…..”.

      Jack too is fun, loving and a good dad. He takes care of himself, eats well, is fit and never smoked. He has a bought with skin cancer at 50, but recovers. He has some minor health issues that require hospitalisation as he ages but lives in the end to be 94. His family are sad, but ‘Well, he had a good innings…”.

      Who costs more? John who paid over a bucket of money on tax on his fags and conveniently popped his clogs before he got the pension? Or Jack who wisely did not smoke and lived to collect the pension for almost 30 years and use all the other state services in that time.

      If you are the state, John is your fiscal hero, Jack something of a drain on the puplic purse frankly.

      Reply
    • And John sat on his obese arse claiming disability up until the day he died while jack worked until 65 years of age and even after that still contributed to the economy by spending his pension in his local community. Jack is my hero!

      Reply
    • I just want to add that my grand father is 87 and he is by no means a fiscal leach. He gets a pension that he paid into and the state one that an old person couldn’t live off.

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    • @terry Jack is my hero too, but I am not the state.

      In case you haven’t noticed there are plenty of fat and successful people – visit any upmarket restaurant at lunch time. Chances are that, fat as he was, John got by pretty ok, paying tax and enjoying his business luches right up to the day he dropped dead. On the other side of that, there are lots of thin people getting benefit – visit your local social welfare office.

      My father is in his 90s, I am not wishing early death on anyone. I am just saying that if you are going to boil this all down to money, which is essentially what this article is about, the ideal citizen, is one who works and pays tax till the day he retires, then dies the next day.

      Reply
    • Interesting allegory, but I think focusing purely on economic costs limits the debate. By choosing to eat healthier food, Jack is there for family and friends; John is not, and had he not died suddenly could easily have been a huge emotional (and financial) burden.

      If someone is lucky enough to inhabit a healthy body then it’s their responsibility to maintain it.

      I expect government health agencies to be objective, unbiased sources of information and advise people about foods that are bad/good for the body, but this is only effective when they have the same resources to get their message out as the fast food industry.

      Reply
    • @alan it would be wonderful if the health care industry was all about keeping people healthy. It’s not. For a great many of those engaged in it, it’s about money. In some senses it has to be – healthcare is always expensive, how you pay for it, as an individual or a state, is important.

      However if you are paying for healthcare, whether as a state or an insurance company, you basically aim to keep the cost at a minimum, in the first case to reduce the strain on the tax payer, in the second to create profit for your shareholders. You would expect that the state would care too about the health of its citizens, and mostly they do, but have to balance that with cost, a very tricky balancing act indeed because money is a finite resource. Insurance companies don’t really care at all about the health of their customers, only how much preserving that health costs them and how much it effects their bottom line.

      In both cases you’ve two big options for managing cost – prevent people from getting ill, and keep the cost of treating them when they do to a minimum. Ideally, the first would be where all the focus is, but it does not have a very quick payback and, damn them, people don’t always take your advice. So, people DO get ill (or iller) more than they maybe should in an ideal world.

      If you are the state the problem you face you are obliged to take care of them to some level and need to figure out a way to do it cost effectively.

      If you are a company you now focus on how you can dump them now that they are a drain – they have moved from the assets to the liabilities column. You deal with that by pushing them to go elsewhere for their cover, up premiums to ensure they are paid for by other insurers or, if quietly, hoping they, em, no longer need care (ie, die). It won’t be elected and thus, to some extent at least, accountable politicians making decisions anymore, it’ll be some actuary in an office somewhere deciding the fate of the sick and price to the insured.

      The health insurance lobby in the US have been wildly successful in dictating the cost of health care in the US for years. They will bring their might to bear here too, and it will not end well.

      Reply
    • censored 17/03/13 #

      Yes, they have been wildly successful in containing the costs of health insurance by negotiating with the providers.

      The providers in the US are the source of the worst cost abuses and this is the main reason why you *must* have health insurance in the US – otherwise you’re at the mercy of the medical professionals.

      Your analysis is very simplistic Katie, as is your analysis on John vs Jack above. If we were to take your word for it, obviously society would be far better off if none of us were ever born!

      Reply
  • public health management is a good thing. nudging people towards making better decisions by pricing incentives makes sense… obese people aren’t just “lazy and greedy”, they’re living with the consequences of modern. financial incentives to change our behaviors is something we should embrace.

    Reply
  • It’s all well and good saying its a choice , and people choose to consume these foods…. But it’s not an ‘educated’ choice. People aren’t educated about the dangers of foods, and develop food addictions. Not to mention we are inundated with conflicting ideologies of “healthy eating” .

    Reply
  • If Bloomberg had real concerns hed ban drinks with artificial sweeteners like aspartame which are doing far greater damage to ppls health causing tumours and cancer

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    • I completely agree, but from his position, it’s easier to prevent the purchase of it, rather than prevent the production. Consumers aren’t as powerful as corporations. Same goes for smoking… It’s easier to ban it as much as possible, rather than taking on the tobacco industry

      Reply
    • Would you like to cite the research that backs up the claim that artificial sweeteners cause cancer or other forms of tumour growth? Or do you want to just continue scare mongering?

      Reply
  • The article mentions the costs of obesity among the healthy population. I think, likewise with smoking, there may be net benefits. Obese people have increased risk of dying sooner which means in many cases they don’t take out their pensions and the exchequer profits. Same goes for smoking. Obviously there is a moral question but in terms of monetary costs I’m not sure they exceed monetary benefits.

    Reply
  • Obese people = greedy and lazy, solution stop eating shit and do some exercise quit moaning about it!

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    • With respect Ted that is quite an ignorant view. Obesity is a much more complex condition that you appear to realise.

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    • It’s not. It’s pure laziness and greed, plain and simple!

      Reply
    • @Ted Power

      You strike me as someone who hasn’t the first clue about obesity. Have you ever been overweight? Have you ever tried to lose weight? Have you ever starved yourself for weeks on end and put yourself through a punishing exercise regime, only to see yourself lose a meagre pound or two? If you haven’t, then shut the fup uck, because you know nothing.

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  • Liam 16/03/13 #

    So you acknowledge that there is a serious problem, yet the solution you suggest is to allow people to continue to add fuel to the fire and make the situation worse as long as they don’t harm anyone and they can afford it? This is obviously the wrong idea, just by looking at the current state that the U.S. finds itself in is a strong indication of where it is going, this has to change, regardless of whether someone likes the idea or not. Also people who are obese are harming someone and that is themselves, the rise in diabetes and other health related issues from eating unhealthy food is something people cannot continue to ignore.

    People have been given the chance to choose what they want, and even in light of all of the evidence that consuming such a large amount of unhealthy food is bad for you, they still do it anyway, these people are not unlike spoilt children, always getting what they want, regardless of the consequences.

    Obesity is getting to be an epidemic in America, there is no denying this fact, there should be a ban on advertisements from all of the major producers of food and drinks that cause obesity, there should also be an extra tax added onto every purchase of carbonated drinks and fat foods, this tax should then go to increasing awareness of the dangers of consuming unhealthy food and drinks, carbonated drinks and fat foods should also be banned altogether in schools.

    America now has a choice, it can either continue to ignore the problem and allow it to get worse, or it can face up to reality and do what is necessary.

    Reply
  • I think people are well aware these days of the health consequences associated with eating such food products. People should not be denied the liberty of eating foods that may be detrimental to their health if they enjoy doing so. There is a tradeoff between happiness now and future health but I think there are a lot of people that want to live a little while they’re here. They are well informed to make that choice

    Reply
  • “Rich and largely sedentary populations combined with easy access to cheap, calorific food is having a visible impact on waistlines and health spending in many countries.”

    “Unfortunately, when it comes to ‘affording’ the vice of gluttony it’s not so clear cut.”

    “I believe in the right to gorge oneself to excess if that is your preferred pastime.”

    “…but people who are obese and overweight will no longer pay extra for their gluttony.”

    Those quotes above betray a complete lack of understanding by the author of this article of the causes of obesity. The first one especially, as it assumes that obesity is a result of prosperity. In fact, obesity affects poor people much more disproportionally. I don’t blame Aaron McKenna for his ignorance, given that views like these are so prevalent. Have a quick look through the comments this article has elicited throughout the day and you’ll see much of the same – fat people are lazy gluttons and are undeserving of our sympathy or support.

    Imagine for a moment that we’re not talking about obesity, but about household budgeting. Many, many people in this country are having severe difficulty managing their household budgets and simply cannot make ends meet. No matter what they do to trim spending or raise additional income, the numbers just don’t add up. How useful do you think it would be if they were told by “experts” that all they had to do was to make sure that they spent less than they earned, and if they failed to do so, they were simply lazy spendthrifts? That would be grossly insulting, and a complete over-simplification of the problems they face. They know well that income and expenditure don’t match, and don’t need anyone to tell them that. There is no exploration as to the cause of this deficit, such as a lost job, or unforeseen expenses.

    But that is exactly what obese people face every day. If only they stopped stuffing their faces with lard and got off their fat arses for a bit of exercise every now and then, they’d be grand! This message is distilled down into a four word mantra – “Eat less, move more.”

    But like the family budgeting scenario, this is an over-simplification of the problem. Yes, obese people consume more calories than they expend, but it doesn’t explain why they do. The given assumption is that it is because the obese person is making a wilful choice to do so, or is so stupid that they don’t realize the damage they are doing themselves.

    Animals in general (humans included) have a fairly reliable inbuilt system for regulating body fat. The first law of thermodynamics applies to a greater or lesser degree. We consume the calories we need in our food to keep ourselves going. When it works, it’s great, and we don’t have to think about it. There are people who stay the same weight their entire adult lives. Do they dutifully count calories in and out? Do they hell! Their bodies have the necessary weight management regulation working perfectly, and it barely occupies a thought.

    For those of us who aren’t so fortunate, obesity is a risk. Most of us will have been overweight at some point. You don’t notice it at first. It’s only when you try to squeeze into something that fitted six months ago, or you see a photo of yourself from five years ago when you realize you have a problem. You don’t know you have a problem till you have a problem. So you try to lose weight. You go the standard calories out minus calories in equals weight-loss route. You starve yourself for weeks on end and subject yourself to a punishing exercise routine, and at the end of it you lose a few pounds. Great! Everyone says you’re looking great and fair play to you. You gradually slip back into your old habits and everything you lost comes back with interest added.

    If we are to get a proper understanding of how weight gain and loss is regulated in the body, we need to become familiar with two hormones, insulin and leptin. Insulin is the hormone that controls what gets stored in our fat cells and what gets used as fuel. Leptin is the hormone that tells us we’ve had enough to eat. If either or both of these are out of kilter, we’re at risk of weight gain. We also need to get a grip on sugar, because it is this, and not dietary fat that does the damage.

    If we consume too much sugar, we stimulate insulin production. This can lead to the sugar being converted to fat and being stored in our fat cells. Over a period of time, a repeat of this can lead to insulin resistance, where sugar from any carbohydrate source can trigger this reaction off. You don’t necessarily have to have a sweet tooth for this to happen. Look at the sugar content of what you eat – you’ll be shocked. Fruit juice, sauces, “healthy” breakfast bars, foods advertised as “low-fat”, etc. If you’re insulin-resistant, almost any carbohydrate will kick it off and you will gain weight.

    Some sugars, fructose especially, can inhibit leptin, which means that we don’t get the signal to stop eating when we should. When we’re hungry, food is irresistible. My late grandmother used to say “Hunger is a great sauce.” But once our appetite is sated, leptin kicks in and tells us to shut up shop. The food is no less tasty, but our desire to consume it is gone. If there is a problem with leptin, we may not get that signal, and our brains will tell us that we are still hungry. If the food is still there, it is very difficult not to eat it.

    So here’s my advice – it’s not “Eat less, move more.” In fact, initially, I advise something quite sedentary – read. Do some research. Read the work of people like Gary Taubes, John Briffa and Robert Lustig. Get a deeper understanding of why obesity (and its horsemen – diabetes and cardiovascular disease) happens. Conventional wisdom suggests we should first address the volume of food intake. However, if we first address the quality of food intake, the quantity will look after itself.

    Conventional weight-loss theory is wedded to the simplistic notion that the patient is to blame for their own predicament. Would it be acceptable to say that anorexia or bulimia sufferers would be OK if they only ate a good dinner and stopped sticking their fingers down their throats? Of course not. Obesity is a complex problem that requires a well researched solution. It’s only 40 years since it became a major problem. What happened back then? We were suddenly told to eat a low-fat diet, and high-fructose corn syrup (or glucose-fructose syrup as it’s known on this side of the Atlantic) made its way into our diets.

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  • Have to say that this is great news, people have to stop blaming others and look at themselves. It’s too easy to blame the industry! It’s about balanced lifestyle…..you take in more calories than you use then you put on weight. Seems that fast food companies, soft drinks companies and now dairy companies are getting a rough deal with scare mongering from the media and now cash starved governments desperate for revenue looking for “the magic tax” that seems to show like they care. It has to go back to the consumer.

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  • Ah, the good old “We are only adding tax to this for your own good” argument!

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  • why not close down all d shops dat sell these fatty foods and all d factories and bakeries dat make dem and give us our meals in tablet form and wash dis down with water only.yummy and problem solved.no more fat issues or risk to health.

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  • Personally i feel that people need to be fully educated from a young age about the risks associated with “junk food”.Either advertising of them should be banned or proper health warnings should come with it like what happened with the tobacco industry.
    Mc Donalds have revolutionised the way americans eat and we are following suit.

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  • I’m trying to imagine carrying around a 2 litre drink. I know obviously it becomes lighter as you drink it but 2 litres is heavy! And I wonder do they fit in their car cup holders?

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  • Mayor Michael Bloomberg of New York banned

    - Trans Fats in supermarket products and
    - may ban Trans Fats in all 22,000 restaurants and fast food outlets in New York.

    Denmark banned Trans Fats in 2006 and McDonalds complied in that country.

    I stopped eating Trans Fats and reversed my Diabetes Type 2 ……. Brilliant New York!

    ————————————————————————————————–
    Wrote an 8 page eBooklet on how I did it. : amazon.com/dp/B00A8S25ZW
    ————————————————————————————————–
    @WalnutCure – Hope it helps.
    —————————————
    Obesity may be linked to Trans Fats ….. however, no scientific consensus.

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  • Aaron, a “socialist paradise”. Oh how I wish!!!

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  • Well if people can’t control themselves maybe the nanny state has to just saying …

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  • He’s hinting that you’re going to lose your healthcare system. He wants to end subsidies for health. Did he mention that Ireland has the lowest corporate tax rate in Europe? He didn’t? Well, maybe he should.

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    • Michael 16/03/13 #

      And thank god we do have the lowest corporate tax rate, or they’d all move elsewhere.

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    • censored 17/03/13 #

      What healthcare system? The system in Ireland needs fundamental reform. The best advice I have for you is to read this article and try to make sure you never need to utilize it.

      And we don’t have the lowest in Europe. We have the most transparent tax system in Europe. For example, native French companies (with the contacts) can avail of a lower rate once they use all their tax breaks. It’s just that it’s really hard for foreign companies to work the system in the same way. Our tax system is one of the few competitive tools remaining to us. I think your comment is facile.

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  • Thumbs down?? Why am not surprised ? So will you be moaning when you are asked to cough up for all them free gastric bypass operations these greedy hogs get from the HSE??

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