Well, yea. If we reduce our rate of obesity into the 19-26% range, our prevalence of chronic conditions, heart disease, diabetes, musculoskeltal issues, cancer, etc etc. all go down. Because of that, total healthcare costs go down
dramatically.
That means lower health insurance premiums and lower expenses in government funded models. Those lower costs free up money to redefine deductible thresholds, invest more in prevention and do other things that can positively impact financial struggles attributed to healthcare.
From the CDC:
People who have overweight or obesity*, compared to those with healthy weight, are at increased risk for many serious diseases and health conditions. These include:1,2,3
- All-causes of death (mortality).
- High blood pressure (hypertension).
- High LDL cholesterol, low HDL cholesterol, or high levels of triglycerides (dyslipidemia).
- Type 2 diabetes.
- Coronary heart disease.
- Stroke.
- Gallbladder disease.
- Osteoarthritis (a breakdown of cartilage and bone within a joint).
- Sleep apnea and breathing problems.
- Many types of cancer.
- Low quality of life.
- Mental illness such as clinical depression, anxiety, and other mental disorders4,5.
- Body pain and difficulty with physical functioning6.
And that's just one condition example... And wow, look at the cost categories below. Think the issues triggered by obesity factor into these?
Even your example is indicative of a problem within our healthcare system. Perhaps you have a unique condition, but for most people, obesity is 100% self-inflicted. There is also a zero cost solution - diet and exercise. I've lost 12 pounds this year. My 33s were feeling a bit tight and I just wasn't where I wanted to be as I approach 40. Precisely zero other people, healthcare companies, health insurers or government entities needed to contribute 1 cent or 1 minute of time to make this happen. It's my job. I gained the weight. I'm 100% accountable to losing it.
We need to strong injection of personal responsibility and accountability. If you're whining about healthcare costs, but are obese, or are frequenting golden corral and fast food joints, then WTF. You are part of our healthcare problem.
I don't have all the answers, but here are two proposals:
- Invest in nutrition and exercise education in low income and high obesity areas. Invest in healthy food subsidies in "food deserts" and other areas where health food options are hard to come by.
- Restructure health insurance premiums to allow for rating of individuals based on preventable health conditions. We already do it for smoking. Do it for obesity and other preventable categories that have a high correlation to healthcare costs. Want to save money? Lose weight.