Campos: Fat doesn't equal unhealthy

Campos: Fat doesn't equal unhealthy

August 1, 2006

Occam's razor is a logical rule of thumb suggesting that, roughly speaking, a simple explanation which accounts for all the data is better than a complex one that does the same. For example, the fact that biologists have never seen a unicorn can be explained by the theory that unicorns are superintelligent beings that have devised technologies to make them undetectable to humans.

A simpler theory is that unicorns don't exist.

A story in The New York Times, authored by its excellent health writer Gina Kolata, illustrates how useful Occam's razor can be. The story chronicles the astonishing improvement in health Americans have enjoyed over the course of the past century - what Kolata describes as our transformation "from small, relatively weak and sickly people to humans who are so big and robust that their ancestors seem almost unrecognizable."

Over the course of the past few generations the average American has gone from being thin and sickly to being fat and healthy. The average American man is 3 inches taller and 50 pounds heavier than he was at the time of the Civil War (Kolata's story focuses on the health records of Civil War veterans).

This means the typical Civil War veteran had a body mass index of 23, which put him in the middle of what our public health officials incorrectly label the "normal" range of weight (it was normal to be thin in the 19th century, mainly because so many people were malnourished).

Meanwhile, today's average middle-age male has a BMI of 28, putting him toward the high end of the government's "overweight" category.

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Hey, Feds, Weight a Minute...

Hey, Feds, Weight a Minute...
By Sandy Szwarc, RN, BSN, CCP
Published 10/26/2004 TCS

The federal government recently ruled that taxpayers will foot the bills for weight loss surgeries and other weight loss treatments for Medicare patients, if medical evidence can demonstrates their effectiveness. This is the door opening to broader obesity-related coverages, as a September 30th New York Times article revealed. According to Karen Ignagni, president of America's Health Insurance Plans, the national health insurance trade organization, everyone's premiums will be impacted if, as expected, private and employer-based health insurance plans follow suit. It's anticipated that as coverage becomes more readily available, more Americans will seek the surgeries and the numbers performed will skyrocket from this year's estimated 144,000 surgeries. So will the costs.

The American Obesity Association, whose sponsors include bariatric surgical groups, weight loss drug companies and weight loss programs like Weight Watchers and Jenny Craig, already succeeded in April 2002 getting the IRS to designate weight loss treatments, including weight loss surgeries, as tax deductible and hence government sanctioned. As our nation faces rising healthcare costs, concerns over troubled Medicare and social security programs and an aging population, many are asking if our healthcare dollars are best spent on these surgeries and where's the proof they're beneficial?

The "proof" appeared to come last week as headlines announced a new study which "validates" obesity surgeries and found them "beneficial" and "can save lives."

The "study" found nothing of the kind. But it did point out how deadly and costly it can be to base healthcare policies and healthcare decisions on bad science.

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