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Wednesday, August 29, 2012

Obesity - a two trillion dollar health tab



Wikipedia's  entry on "Obesity in the United States" is very well done. 

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http://online.wsj.com/article/SB10001424052702304363104577391991014215060.html?mod=googlenews_wsj


Over a decade the estimated cost of obesity-related illnesses is just under two trillion dollars. 
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"... rates of obesity in the U.S. have generally leveled off in the past decade among both children and adults. But two-thirds of Americans are still overweight or obese, and the number of people who are severely obese has continued to rise.

It isn't clear where the epidemic is headed. A study published Monday in the American Journal of Preventive Medicine predicted that 42% of the U.S. population will be obese in 2030. In 2009-2010, 35.7% of adults and 16.9% of children were obese, according to CDC data.

One factor that concerns public-health officials is how many of today's more than 12.5 million obese children will remain obese as adults. Also of concern are rising health-care costs, as obesity is linked with costly chronic conditions such as type 2 diabetes and heart disease. Estimates vary widely as to the cost of obesity-related illnesses; the IOM said it runs to $190.2 billion annually.
Write to Betsy McKay at betsy.mckay@wsj.com

2008 State Obesity Rates
State
%
State
%
State
%
State
%
Alabama
31.4
Illinois
26.4
Montana
23.9
Rhode Island
21.5
Alaska
26.1
Indiana
26.3
Nebraska
26.6
South Carolina
30.1
Arizona
24.8
Iowa
26.0
Nevada
25.0
South Dakota
27.5
Arkansas
28.7
Kansas
27.4
New Hampshire
24.0
Tennessee
30.6
California
23.7
Kentucky
29.8
New Jersey
22.9
Texas
28.3
Colorado
18.5
Louisiana
28.3
New Mexico
25.2
Utah
22.5
Connecticut
21.0
Maine
25.2
New York
24.4
Vermont
22.7
Delaware
27.0
Maryland
26.0
North Carolina
29.0
Virginia
25.0
Washington DC
21.8
Massachusetts
20.9
North Dakota
27.1
Washington
25.4
Florida
24.4
Michigan
28.9
Ohio
28.7
West Virginia
31.2
Georgia
27.3
Minnesota
24.3
Oklahoma
30.3
Wisconsin
25.4
Hawaii
22.6
Mississippi
32.8
Oregon
24.2
Wyoming
24.6
Idaho
24.5
Missouri
28.5
Pennsylvania
27.7


States with obesity rates higher than 30% are all "red." 
These same states exhibit unusually low approval for government dietary intervention such as soda taxes and school lunch modification.
Those who resist government intervention say it represents collective imposition in domains where individuals are invested with personal responsibity.
Yes.
 In theory, individuals should be responsible.
In fact, they are not, especially in red states where individual attention to health maintenance is considerably lower than elsewhere in the country.
When individual irresponsibility invokes collective expense, government has three choices: 1.) to refuse healthcare to those who are irresponsible, 2.) to raise taxes to cover the healthcare expense arising from personal irresponsibilty, 3.) to alter individual healthcare behaviors through taxation and regulation.
Notably, the red state woman, Ms. Mary Brown who first brought suit against Obamacare's individual mandate dropped her suit when she became direly ill and was forced to seek government sponsored healthcare assistance. In 2011, Lead Plaintiff Brown and her husband declared bankruptcy, citing unpaid medical bills of $4500.00. http://www.dailykos.com/story/2012/03/09/1072926/-Lead-Plaintiff-in-Case-Against-HealthCare-Law-Went-Bankrupt-With-Unpaid-Medical-Bills


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