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Article #210: Medicare Is Missing The Obesity Target

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On July 16, 2004 the headline posted all discounting the effectiveness of stomach
over America was "WASHINGTON (AP) -- bypass surgery. On the contrary, it is
Medicare now recognizes obesity as an perhaps the best solution for some
illness, a change in policy that may people. However, for the vast majority of
allow millions of overweight Americans to Americans, regular cardiovascular and
make medical claims for treatments such resistance exercise is will provide much
as stomach surgery and diet programs." better and long-lasting results.
(cnn.com) Further along in the article from The
It was almost impossible to miss this Associated Press we find this quote:
story, since it was plastered on "Some health plans subsidize gym
virtually every front page in the nation memberships, but it is unlikely that
and received heavy rotation on all the Medicare would, despite the undeniable
major news networks. benefits of exercise." The folks at
The government representative in front of Medicare just don't seem to get it.
the cameras said all the right things They're missing the obvious solution to
about the dangers of excess body fat: obesity.
Health and Human Services Secretary Tommy The plain and simple fact of the matter
Thompson said, "Obesity is a critical is that liposuction, stomach bypass
public health problem in our country that surgery, and other surgical forms of
causes millions of Americans to suffer obesity control do not convey the same
unnecessary health problems and to die benefits as exercise. That is an
prematurely." undisputed fact. Yes, fat-loss surgical
Treating obesity-related illnesses procedures work for some people and have
results in billions of dollars in health even saved lives. If you think you may be
care costs, Thompson said. a candidate, then by all means please
"With this new policy, Medicare will be talk it over with your physician. Odds
able to review scientific evidence in are good that your doctor will discuss it
order to determine which interventions with you and then recommend (prescribe?)
improve health outcomes for seniors and a healthier diet and regular exercise.
disabled Americans who are obese," There are two basic reasons why exercise
Thompson told a Senate panel on Thursday. is superior to fat-loss surgery. First,
(end quote from cnn.com) the simple act of removing fat from your
That is all 100% true and accurate; body does not make your heart healther
obesity DOES cause a multitude of health (as exercise does). Surgically taking fat
problems in the United States and around off your body (via liposuction) will also
the world. Fitness professionals around not prevent diabetes or hypertension (as
the nation have joined together in exercise does). In short, although
congratulating the Department of Health & surgical procedures will make you
Human Services in finally taking a much healther they will not convey the same
more pro-active role in obesity benefits as regular exercise.
prevention. The second reason that exercise is
However, we must take issue with what superior to surgical solutions is that we
appears to be the main focus of this new must change our behavior if we are to
initiative: fat loss results through make life-long changes in our body
surgery. On July 21, 2004 the Idaho Press composition. Think about it. What if we
Tribune (idahopress.com) ran a much more could magically take 20 lbs. of fat off
in-depth story on this issue (written by our body today? Poof! It's gone. Now
Mark Sherman of The Associated Press). In doesn't that feel (and look) good? What
part, this story stated that "Now willing will happen if we don't change our diet
to pay for a treatment that works, or activity level....will that 20 lbs.
Medicare is shunning fad diets to focus come back? Of course! Similar to the
on one of the more radical solutions, yo-yo diets many of us have experienced,
stomach bypass surgery. Despite the without permanent changes to our
claims of various diets and surgical lifestyle and/or dietary habits,
procedures, most researchers agree that permanent change is next to impossible.
no approach to weight reduction has been So, while we applaud the folks at
proven to be effective over the long Medicare for their added emphasis on
haul.....officials said they would obesity, we are alarmed that exercise
consider paying for something, but only will not (for the time being, at least)
something that can be shown to work." play a role in their new initiative. In
We are shocked and dismayed that anyone the meantime, let's continue to work out
at the Department of Health & Human regularly and try to keep our diets
Services would not automatically endorse 'clean'. Let's talk to our doctors about
and promote exercise as the number one our goals.....the odds are good that
proven remedy for obesity! they'll continue to recommend regular
Please understand that we are not exercise and a healthy diet.






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