Feb 02

Table for Two? Step on the Scale, please.

Tag: Consumer, Crime & Punishment, Diet, HealthPatrick @ 2:22 pm

The South is known for good, down-home cooking. If it involves grease, those of us who live here are all over it. If it involves a more healthy cooking method, then we have to have a little more coaxing to give it a try. You probably wouldn’t be surprised that there are Southern states that rank at the top in obesity.

In Mississippi, a lawmaker wants to do something about that and his plan is causing lots of eyebrow raising.

Rep. W.T. Mayhall, Jr. (R) has proposed House Bill 282:

“An act to prohibit certain food establishments from serving food to any person who is obese, based on criteria prescribed by the State Department of Health; to direct the Department to prepare written materials that describe and explain the criteria for determining whether a person is obese and to provide those materials to the food establishments; to direct the department to monitor the food establishments for compliance with the provisions of this act; and for related purposes.”

It’s one thing for government to attempt bans on smoking in public places (which I favor) or on using dangerous trans-fats (which I have mixed feelings about). It’s quite another for government to attempt to ban the serving of food to people based on whether they are obese. In fact, there are many problems with this plan:

  • All people who are obese are not necessarily so solely because of food. Some people who are borderline obese can be pushed over the scale by medication, for example. Also, a lack of exercise is also sometimes at least as much to blame as inadequate portion size.
  • The solution to being obese isn’t to stop eating. Your body still needs fuel. You should certainly eat less, but if you stop eating completely, your body begins burning lean muscle tissue and fat. It’s the lean muscle tissue that you do have that helps burn the fat that you shouldn’t have.
  • It has the potential to be a psychological nightmare for people who are obese and already have to fight low self-esteem. The last thing they need is to be pulled aside during an evening out with friends and be shown the door and embarrassed.
  • It’s distinctly punitive. The policy wouldn’t take into account anyone who is actually making progress towards losing weight: for example, a patron who is on a weight loss and exercise plan, and who has already lost 100 pounds, but still falls just inside of the “obese” range, would be treated just the same as someone who refuses to exercise or eat responsibly. Doesn’t seem quite fair, does it?
  • How do you actually measure this? One’s Body Mass Index (BMI) is a comparison of height to weight. So this means that you’d literally have to measure every person who walks in the door: you’d have to weight them and determine their height, then calculate the index. Can you imagine waiting in a line for that?
  • The BMI isn’t absolute. One year ago, when I weighed 290, my blood sugar level was in the “Pre-Diabetic” range and my cholesterol was at 239, thirty-nine points into the “red zone.” But after losing 50 pounds, my blood sugar level was well into the normal range as was my cholesterol. The lipid markers all showed good readings, even though I was still technically “obese.” BMI also doesn’t take into account whether a person is carrying a lot of muscle weight or is “big-boned.” It is only a flat ratio of height to weight, and no fitness expert I’ve ever spoken with considers it the defining method of figuring one’s healthy weight.

Most BMI indexes suggest that I should weigh less than 180. Sure. Nothing would thrill me more. But I think I have an equal chance of sprouting horns. On the other hand, I have an uncle who just turned 75, who has been significantly overweight for decades. At his most recent doctor’s visit, his doc marveled at his cardiac condition, and said he has the heart of a thirty-year-old. While that may certainly be the exception and not the rule, it does happen.

There are lots of ways to encourage people to do the right thing when it comes to food. Unfortunately, this isn’t one of them. Not by a long shot.

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4 Responses to “Table for Two? Step on the Scale, please.”

  1. Carly says:

    Hi Patrick

    Good news about your test results. That makes me happy and I am so proud of your effort. Like I have said many times before you are a winner and you are well on your way to a longer life. I wrote about this subject today as well. Drop by and have a look see when you can. I completely agree with you, this bill is about as wrong as it gets, and it is so sad that elected officials are this far out of step with things. Don’t you just adore election years?

    Carly :)

  2. Psychfun says:

    Boston Legal had episodes on this where Denny Craig fired an attorney because she was obese…insurance rates up! Similar to the one episode where the employer fired his employee for not stopping to smoke when the policy was announced, given time to stop etc. It is all very interesting & I can see this coming next down the road. I agree, even “thin” people can be unhealthy & why should we not ban them from eating it either since it will lead to this if “we do not stop them!” They could become addicted! And there are quite frankly some technically obese people who are healthy by all test markers. Now for how long may be the question but say you have one that also is on cholesterol meds so that test comes back fine! Now does anyone ask someone coming into a bar if they are an alcoholic? Do we ask a woman to prove they are not pregnant? Next they will tell me I can’t drive a car…that I should walk to work to keep fit! Oh & dear God some political person will want to say that sex is harmful to me pretty soon! This is just going to be a huge mess! And we would totally have to forget about Fat Tues & Puczki Day next week! :-(

  3. Psychfun says:

    Oh sorry…smoking episode insurance rates, obese episode was on some research Denny read (that actually was out) that if you hang around obese people you actually become obese…which is correlational of course & not cause & effect! Ugh!

  4. Jude says:

    I am obese, although I do not suffer from a lack of self confidence. This measure though is jeopardizing my civil rights. No one has the right to tell how or what to eat. And for the record, I don’t eat much. Of course the idea of taking away Constitutional rights is not a foreign concept anymore.

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