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Obesity fight hits taxpayers
The Atlanta Journal-Constitution ^ | 1/22/04 | DAVID WAHLBERG

Posted on 01/22/2004 12:48:56 AM PST by calcowgirl

Obesity in the United States, which affects nearly one-third of adults -- costs $75 billion a year in medical expenses, half of it funded by taxpayers through Medicare and Medicaid, a new study says.

Treatment of obesity, ranging from clinic visits to gastric bypass surgeries, amounts to $350 a year for each adult, according to the study released Wednesday by the Centers for Disease Control and Prevention in Atlanta and RTI International, a nonprofit research firm in North Carolina.

The percentage of American adults considered obese has doubled in the last 25 years, fueling a rise in chronic diseases such as diabetes and heart disease, the CDC said.

"Obesity has become a crucial health problem for our nation, and these findings show that the medical costs alone reflect the significance of the challenge," said Health and Human Services Secretary Tommy Thompson. "We must take responsibility both as individuals and working together to reduce the health toll associated with obesity."

Both Thompson and Dr. Julie Gerberding, CDC director, have declared obesity a major health concern.

The new study -- which doesn't include children, whose obesity rates are soaring -- found that 5.7 percent of the nation's health care expenses are for treatment of obesity. That is roughly the same percentage spent on treatment for the effects of smoking.

The burden is greater for taxpayer-funded programs: 6.8 percent of Medicare costs and 10.6 percent of Medicaid costs are spent on treatment of obesity.

Medicare is a federal program for seniors and the disabled, and Medicaid is a federal and state program for the poor.

The study, the first to break down obesity costs by state, focuses on all medical expenses incurred by obese people that exceed the medical expenses of the non-obese. This included all costs for all medical treatment, whether paid by private insurance or public programs. Indirect costs, such as lost productivity and time away from work, were not considered.

California spends the most on obesity overall -- $7.7 billion a year -- and through Medicare -- $1.7 billion. New York tops the list in obesity-related Medicaid expenses at $3.5 billion. Alaska and the District of Columbia spend the largest share of medical expenses on obesity -- 6.7 percent.

Wyoming spends the least treating obesity each year, at $87 million. Arizona spends the smallest share of its health care dollars on obesity, at 4 percent.

A state's obesity costs are influenced by its obesity rate, its population, the amount of managed care and the extent to which public programs pay for medical expenses. High costs can result from generous health care programs as well as a high incidence of obesity.

"This allows each state to see how much they spend on obesity," said Eric Finkelstein, an RTI researcher. "It should encourage states and employers to figure out how to reduce these costs."

States can support nutrition and fitness programs to reduce obesity costs in future years, Finkelstein said. Some employers offer perks to workers who enroll in exercise programs or otherwise keep health care costs down. Georgia's obesity rate is 23.5 percent, compared with the national average of 22.1 percent, according to a CDC survey that relies on self-reporting by participants. A more robust CDC study, not broken down by state, puts the national rate at 31 percent.

In the new study, Georgia comes in slightly higher than the national average on obesity costs. The state spends $2.1 billion treating obesity, or 6 percent of its overall health care costs. Obesity accounts for $405,000, or 7.1 percent, of Medicare spending and $385,000, or 10.1 percent, of Medicaid spending in Georgia.

Gov. Sonny Perdue's budget for next year calls for greater cuts in public health spending than the 5 percent reduction across the board in spending by state agency. But that doesn't mean obesity isn't an important issue, Perdue spokesman Dan McLagan said.

"The governor's focus is on children, education and job creation," he said. "Sadly, everything can't be funded."


TOPICS: Crime/Corruption; Culture/Society; Extended News; Government; News/Current Events; US: Alaska; US: Arizona; US: California; US: District of Columbia; US: Georgia; US: New York; US: Wyoming
KEYWORDS: healthcare; medicaid; medicare; nannystate; obesity; pufflist; sonnyperdue
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To: Capt. Tom
>>Being obese isn't a threat to a fellow worker.

Just u wait. Productivity losses, extra sick days, increased wear and tear on the furniture.

Increased costs for everyone.

The logic against cigs will be applied to food. With the significant exception that fat people will not be ostracized.
61 posted on 01/22/2004 2:46:38 PM PST by swarthyguy
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To: Capt. Tom
About a year ago, I saw my first "secondhand obesity" commercial. It went something like this:

Little Johnny is running around outside playing with a ball. He's kicking the ball, bouncing the ball, and doing other assorted ball activities.

The scene switches to the face of his mother. You can hear little Johnny playing happily outside. Mom is sitting in a wing chair watching TV and eating chips.

You hear the back door slam, and little Johnny appears in the room, apple-cheeked and slightly out of breath from his exertions.

"Mom! Come on out and play with me!" he cries.

"Oh, honey," says Mom, "I don't feel like it right now."

"C'mon, Mom! You never play with me! I just want to play catch," says little Johnny.

The camera angle widens, and we see why Mom can't play. Mom weighs about 400 pounds and seems as if she wouldn't be able to get up off the couch even if the house suddenly burst into a blazing inferno.

Mom's face falls. She is ashamed and embarrassed. "I'm sorry, honey."

Close up on little Johnny's crestfallen expression.

"It's OK, Mom," he says.

FADE TO BLACK WITH VOICEOVER: "Obesity is a problem for you, for your children, and for ALL of us. Call 1-800-999-CHUBBY for help in breaking the obesity cycle."

It's coming, folks...

Regards,
62 posted on 01/22/2004 4:48:29 PM PST by VermiciousKnid
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To: VermiciousKnid
It's coming, folks...

Yes and they can't hide it.

Obesity cop, "Sir step over here." Cop takes height and weight check.
Issues a ticket for being 40 lbs overweight and a summons to appear at the official town scale no later than 20 weeks from the date of issue.(2lbs/wk.)

Fines will be $10/pound. (Of course some people like Pavarotti the opera singer can afford that as a business expense, since his voice might change with a big weight loss.
300 pound football players would also have it as a business expense. etc - Tom

63 posted on 01/22/2004 5:04:39 PM PST by Capt. Tom (Don't confuse the Bushies with the dumb republicans. - Capt. Tom)
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To: AuntB
By the way, the last time I was in the SS office, there were 4 "hispanic" young people with the SSA interpreter changing their addresses for their checks. 3 were obese.

And, YES, I have a very negative attitude.

Oh boy. :(  You have one gut wrenching story  there.  I'm not sure if I could handle that.  What state are you IN??? MAINE?

Sounds like Maine. heh!

My heart goes out to you and I wish you all the very best!

64 posted on 01/22/2004 6:41:43 PM PST by SheLion (Curiosity killed the cat BUT satisfaction brought her back!!!)
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To: MeekOneGOP; autoresponder; Grampa Dave; BOBTHENAILER

HOWARD DEAN EATS TWO BABIES!

"I'm the doctor--I say what's nutritious!"

65 posted on 01/22/2004 8:32:47 PM PST by PhilDragoo (Hitlery: das Butch von Buchenvald)
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To: SheLion
Hi, SheLion. Well, I'm not sure if I have "handled" it or not! There are days you would not be proud of me. 4 years before I started a claim with SS, my friend was diagnosed with an inoperable brain tumor and told to go home and die. SSA denied him the first time, too. Had the same problems with records and doctors. He didn't get medicare for two more years. I gave him a home and supported him. I paid for the chemo that medicare wouldn't. He could do no paperwork. I thought they'd drive me nuts then....I think they've accomplished it after ten long years of dealing with them. You haven't heard a tenth of it. You probably wouldn't believe half of it, it's too much to think it could happen to anyone! But no one wants to hear it. And the damn doctors think I ought to be able to quit smoking. Dolts.

You be good honey, I need to feed my demon....where are my smokes????LOL!!

66 posted on 01/22/2004 8:47:15 PM PST by AuntB (REFORM SS DISABILITY: http://www.petitiononline.com/SSDC/petition.html)
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To: SheLion
Oh, what state?? Oregon, then I moved to California when I had to sell my home. But for some reason, everything, hearings, etc are all still held in Oregon. Now I get to "travel" to deal with it. Here's somemore nonsense. I applied last year with the federal program for work for "older" persons...ugh...through the Employment Division. The two people running this are both drawing disability, WHILE they work for the government. I tried a couple jobs and was told I was too decrepit for their program. THAT doesn't matter with SSA. God help us all, even those of us who smoke. The drugs the doctors have given me in the last 30 years have been horrid!!! There's no other way to describe it.They destroyed what little I had left of my health. I refuse to take any more of them and that's another reason I was given for denial by SSA. "Refusal to take prescribed treatment".
67 posted on 01/22/2004 8:55:23 PM PST by AuntB (REFORM SS DISABILITY: http://www.petitiononline.com/SSDC/petition.html)
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To: jwfiv
Check out the Not-So-Sexy beast in 26. Eww.
68 posted on 01/22/2004 8:56:36 PM PST by Serb5150
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To: TigersEye
I don't do mayo. Kraft Miracle Whip or nothing for me. Even on my fries.
69 posted on 01/22/2004 9:35:03 PM PST by Don W (Modesty has ruined more kidneys than liquor.)
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To: Serb5150
Oh, you mean the drunken woman-killer, Chappiquidickless Bloviatus...amazing how he can walk upright without a spine.
70 posted on 01/22/2004 9:52:37 PM PST by jwfiv
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To: Don W
Let's avoid the suffering and cut to the chase.

In 50 years or so if your DNA isn't perfect at birth you will be disposed of immediately, if you don't maintain a government approved lifestyle afterwards you will be sent to a re-training camp and if after 3 tries you don't improve you will be deemed an enemy of the state and eliminated in a humane manner for the health and safety of the peoples government.

Can anyone deny this isn't coming sooner rather than later?

71 posted on 01/22/2004 9:53:18 PM PST by this_ol_patriot
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To: PhilDragoo; autoresponder; Happy2BMe; yall
hehe ! Mornin' !

So now Howie's giving little babies a bad time.

Look at the face on the one on the right, as if to say ...


My goodness. Are you NUTS ?! ...

Kids these days. Gettin' smarter all the time !


72 posted on 01/23/2004 2:05:19 AM PST by MeekOneGOP (Check out this HILARIOUS story !! haha!: http://www.freerepublic.com/focus/f-news/1060580/posts)
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To: MeekOneGOP
Text in the table frame looks good
73 posted on 01/23/2004 2:08:32 AM PST by autoresponder (DEAN GOES NUTS: http://00access.tripod.com/Dean.html http://00access.tripod.com/slick.html)
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To: autoresponder
Thanks. Thought I'd try that and see how it came out ...

74 posted on 01/23/2004 6:26:46 AM PST by MeekOneGOP (Check out this HILARIOUS story !! haha!: http://www.freerepublic.com/focus/f-news/1060580/posts)
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To: Don W
Kraft Miracle Whip or nothing for me. Even on my fries.

Food murderer!

75 posted on 01/23/2004 9:56:13 AM PST by TigersEye (Dean people suck!)
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To: AuntB
I know that doctor!!!

He's no doctor. I am so sorry about your doctor induced injuries. Ephederine is banned because a small handful of people are injured through reckless misuse yet Rx drugs, properly prescribed and used, cause dozens, hundreds or thousands of deaths and injuries and the response from the FDA and the medical community is a big "oh well, that's life." I consider that behavior criminal in nature.

76 posted on 01/23/2004 10:04:38 AM PST by TigersEye (Dean people suck!)
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To: ItsOurTimeNow
If a fat man sees his doctor because he dropped a hammer on his toe, is that considered an "obesity" case? Kind of like how the French were counting any death during their "heat-wave" as a "heat-related death".

You are a LOT closer to the truth than you might think here. The government and the medical establishment has long played fast and loose with "smoking-related death" statistics. Pretty much everyone that dies of certain types of cancers is automatically categorized as a "smoking-related death" even if they never touched a single cigarette in their lives. If a patient has ever admitted to smoking for so much as a single month when they were 18, and then dies of any of dozens of different diseases at age 95, they'll be classified as a "smoking-related death".

Given that, you can be sure that anyone who's more than a single pound "overweight" according to an arbitrary chart drawn up by the government, and then dies of pretty much any disease instead of being hit by a bus, will automatically be counted as an "obesity-related death".

Higher "death rates" = more cash for those running the agencies assigned to fight the nonexistent problem, and more cash for the trial lawyer Democrats. Follow the money.

77 posted on 01/23/2004 10:09:33 AM PST by Timesink (Two fonts walk into a bar. The bartender says, "We don't serve your type here.")
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To: Conspiracy Guy
Well that is Hellman's slogan.

Hmmm, it's Best Food's slogan too. Ah, my jar of Hellman's has the answer. Hellman's is a subsidiary of Unilever Bestfood's Inc. No wonder I like the consistency of both equally. Doh!

The best use of mayo may well be turkey, lettuce and tomato on lightly toasted whole grain bread drowned in mayo on both sides.

78 posted on 01/23/2004 10:12:25 AM PST by TigersEye (Dean people suck!)
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To: Capt. Tom; Don W
Many years ago while I was working and saw what was hapening to the smokers I often made the remark "What's next obesity in the workplace"

A very long time ago - 10 to 15 years - Rush Limbaugh would regularly report on whatever Nanny State action was being taken that day (usually something smoking-related, but of course it could be any number of things: mandatory bicycle helmets for kids, someone successfully suing a ladder manufacturer for falling off one of their products that didn't have a label on it reading "Don't be a damned idiot," etc), and he would always end his rants with a statement along the lines of, "Mark my words. If we don't stop this sort of thing now, eventually they'll start going after FOOD."

He said this over and over and over again. Everyone laughed at him, and of course as a society we did nothing about the Nanny State. And his prediction has come 100% true, just like the slowly-boiling frog. It's happened so slowly, so "progressively" (pun intended) slowly, that I'm not sure even Rush remembers how he used to make that prediction almost every day way back when. By the time the Food Nazis finally came along in the last year or two, nobody was the least bit surprised; we all fully expected it.

79 posted on 01/23/2004 10:15:55 AM PST by Timesink (Two fonts walk into a bar. The bartender says, "We don't serve your type here.")
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To: TigersEye
When I asked about my back pain he immediately asked me if I was depressed. I said no but he spent the next twenty minutes trying to convince me that I was depressed and again he said, and I quote verbatim, "I have drugs for that." I left and never went back. AFAIC he's a quack.

Call your state's Board of Medicine, request a complaint form, and fill one out, explaining the simple truth: He refused to even attempt to treat you for your ailments, and instead attempted to practice politics on you. He'll be forced to take time out of his oh-so-busy-and-important schedule to respond to the state (and they could in theory launch a full investigation), and no matter how the matter is resolved, the fact that someone put in a complaint against him will be on his record FOREVER. (You can call your state BofM anytime and simply ask, "Has Dr. So-and-So ever had any complaints filed against him?" This is often a good thing to do anyway before seeing a new doctor for the first time.)

80 posted on 01/23/2004 10:21:36 AM PST by Timesink (Two fonts walk into a bar. The bartender says, "We don't serve your type here.")
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