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Obesity declared a disease by AMA - Page 15

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Cynry
Profile Blog Joined August 2010
810 Posts
June 21 2013 01:47 GMT
#281
Guys, GUYS !
I know where the energy goes when you eat too much, don't exercice and don't eat carbs. It sets your brain on fire and you can't fucking sleep for hours ! Ezpz...
TheTenthDoc
Profile Blog Joined February 2011
United States9561 Posts
Last Edited: 2013-06-21 01:48:16
June 21 2013 01:47 GMT
#282
On June 21 2013 10:26 SatelliteNoodles wrote:
Oh man this is ridiculous. It's up to the individual to be fat or not. Unless there are some medical complications regarding that person. Pfft!
Show nested quote +
On June 21 2013 03:59 Kinky wrote:
On June 21 2013 03:56 Kazius wrote:
There are proper medical conditions that cause obesity. Those should be treated as diseases.

There are psychological conditions that cause obesity. Those should be treated as mental illness.

This mocks both of those. Obesity is a symptom, in which case this is an unneeded definition, or a choice, which makes a farce of people with actual problems.

Exactly my thoughts on it. Suddenly all the people who are obese because of bad lifestyle choices are grouped with people who can't control their obesity.

YES!

EDIT: Since it is declared as a disease now and require medical treatment... + Show Spoiler +
$$$


$$$ is right. Part of this is actually to give doctors a concrete incentive to actually counsel obese patients on weight loss through diet and exercise in the U.S.'s shitty fee-for-service system. The AMA even mentions this; by classifying it as a disease they're better able to bill caring for patients to insurance providers.

As is (or was), there's a perverse economic incentive (that I don't think the vast majority of doctors care about, true) to let obesity go undealt with, as the complications associated with the condition allow for more FFS billing.
Elegy
Profile Blog Joined September 2009
United States1629 Posts
June 21 2013 01:54 GMT
#283
God, stop blaming genetics.

Look at the historical trend of obesity.

People are getting fat because they eat like shit, and the few who suffer from actual hormonal and medical disorders get overshadowed by people who have poor diet and exercise regimens.

Even if the higher caloric intake of the general population has exacerbated particular genetic tendencies towards obesity, it's not an excuse and it's probably the fault of the individual. Yeah, poor people often can only afford high carb largely unhealthy diets as a result of their poverty, but that is a shitty explanation for the massive trend of obesity.

If you're super fat, it's not genetic, it's not hormonal. Or rather, it's highly unlikely. Stop eating like a fucking troll and go walking every morning. If that doesn't work, go see a doctor and find out what's wrong with you. Because operating at a reasonable caloric deficit over an extended period of time will make you lose weight.
bK-
Profile Joined June 2012
United States326 Posts
June 21 2013 02:04 GMT
#284
On June 21 2013 10:54 Elegy wrote:
God, stop blaming genetics.

Look at the historical trend of obesity.

People are getting fat because they eat like shit, and the few who suffer from actual hormonal and medical disorders get overshadowed by people who have poor diet and exercise regimens.

Even if the higher caloric intake of the general population has exacerbated particular genetic tendencies towards obesity, it's not an excuse and it's probably the fault of the individual. Yeah, poor people often can only afford high carb largely unhealthy diets as a result of their poverty, but that is a shitty explanation for the massive trend of obesity.

If you're super fat, it's not genetic, it's not hormonal. Or rather, it's highly unlikely. Stop eating like a fucking troll and go walking every morning. If that doesn't work, go see a doctor and find out what's wrong with you. Because operating at a reasonable caloric deficit over an extended period of time will make you lose weight.

You can't ignore genetics but the blame shouldn't lie 100% on genetics. All that genetics do is give a unique caloric requirements to each individual to maintain,lose, or gain weight. You are right that the people who make poor lifestyle choices such as crappy diets,low exercise are just paving the way towards obesity.
We all want to live by each other's happiness, not by each other's misery. We don't want to hate and despise one another. In this world there is room for everyone and the earth is rich and can provide for everyone.
Juggernaut477
Profile Joined May 2011
United States379 Posts
June 21 2013 02:09 GMT
#285
On June 21 2013 03:50 Attica wrote:
Are people going to be getting disability now because they are fat and lazy.



May as well. We don't drug test welfare and other forms of government aid, if drug addicts and drug dealers can do nothing all day and get a free ride through life from the government why not add obese people to the fun.
Aveng3r
Profile Joined February 2012
United States2411 Posts
June 21 2013 02:10 GMT
#286
some things to consider
1. Im generalizing here, but this community is made up of people who are still relatively young. (cut me a break on this assumption, I dont know nearly as many 40+ year old video game players as I do teen/twentysomethings) Metabolisms have not slowed down yet, so it is easier to keep weight off.
2. A group of people who has time to participate in a video game community is probably on the higher end of the socioeconomic spectrum- healthy food is easier to come by.
3. seriously. Eating healthy is a lot more expensive and time consuming than cheap, fast food.
Keep these things in mind when talking about a general population that has a harder time acquiring and preparing healthy food than you do.
I carve marble busts of assassinated world leaders - PM for a quote
screamingpalm
Profile Joined October 2011
United States1527 Posts
June 21 2013 02:10 GMT
#287
On June 21 2013 09:17 dudeman001 wrote:
Show nested quote +
On June 21 2013 08:38 screamingpalm wrote:
On June 21 2013 07:39 On_Slaught wrote:
Gary Taubes gives a VERY strong argument for why the calories equation has literally nothing to do with weight gain. He says that relying on the law of thermodynamics (which is what people are doing when they argue this) is making an 8th grade level math mistake. This law has no more impact on weight gain than the law of relativity does.

Rather his argument, for those who don't have the patience to watch the whole video, is that the common view is backwards (he goes into the history of how this was lost). Fat people don't get fatter because they eat more, they eat more because they are fat. Basic biology tells us that it has everything to do with how our hormones are influenced by our food (he goes into a lot of detail about how big genetics is to weight gain. Anybody who says it is a minor issue is completely un-grounded). The ultimate conclusion is that the specific substance which causes ALL fat creation in cells is insulin. Insulin is caused by carbohydrate intake. Therefore carbohydrate intake directly leads to fat increases. He argues that you can literally eat as much non-carbohydrated food as you want and you couldn't gain weight gain weight.

However this does not free people from personal responsibility. It happens to be that many of the best tasting food happens to create insulin so personal discipline is still a huge factor.

It's nice to actually listen to somebody who at least gives sound scientific basis for his arguments rather than the pure shit being dredged up in this thread. And even for the people not spouting pure shit, there is no basis other than the ubiquity of their stance upon which they base it.




Currently 25 mins into that video, thanks for posting it- very informative and clears up a lot of misinformation! Some points really hitting home for me- like how incredibly skinny I was as a kid while my parents were overweight etc. :D

Everyone in this thread should watch it. Reposting for the link-paranoid.

http://youtu.be/M6vpFV6Wkl4

For the people who don't want to listen through a 1.5 hour video, the University of California network made a series of short videos that describe the issue at hand.

I'll put the full playlist of 6 videos in a spoiler below, but it agrees with the information provided by Gary Taubes specifically about an insulin heavy diet being the great problem with obesity.
+ Show Spoiler +









Hey, just wanted to thank you for posting that, just finished watching those... very good. Whereas Mr. Taubes seemed to put the emphasis on carbs, they put more importance on sugar (which makes more sense to me).
MMT University is coming! http://www.mmtuniversity.org/
Akamu
Profile Blog Joined April 2010
United States309 Posts
June 21 2013 02:11 GMT
#288
Genetics are an excuse. Everyone, literally everyone has the ability to lose weight. There is no magic trick, there is no prescription. It's just how much self control you have.

Generics have a roll for sure. But saying they are the reason you can't lose weight is like saying you suck at basketball because you are 5'5". Yes it has effects but it ultimately its all on how hard you want to work for it.
I hear your heart beat to the beat of the drums, what a shame that you came here with someone.
DanceSC
Profile Blog Joined March 2008
United States751 Posts
June 21 2013 02:13 GMT
#289
It is their way of pulling more shit on everyone and making money. Now they can start prescribing drugs that will cause 20 other problems till you are either dead or your pockets are empty.
Dance.943 || "I think he's just going to lose. There's only so many ways you can lose. And he's going to make some kind of units. And I'm going to attack him, and then all his stuff is going to die. That's about the best prediction that I can make" - NonY
Aveng3r
Profile Joined February 2012
United States2411 Posts
June 21 2013 02:14 GMT
#290
On June 21 2013 11:11 Akamu wrote:
Genetics are an excuse. Everyone, literally everyone has the ability to lose weight. There is no magic trick, there is no prescription. It's just how much self control you have.

Generics have a roll for sure. But saying they are the reason you can't lose weight is like saying you suck at basketball because you are 5'5". Yes it has effects but it ultimately its all on how hard you want to work for it.

be careful saying that, each case is different. Im sure genetics makes it harder for some people to lose weight than others, but I know a girl that was born with something (dont know what the condition is called) that makes it almost impossible for her to lose weight. hard to blame her for her situation.
I carve marble busts of assassinated world leaders - PM for a quote
TheTenthDoc
Profile Blog Joined February 2011
United States9561 Posts
June 21 2013 02:23 GMT
#291
On June 21 2013 11:13 DanceSC wrote:
It is their way of pulling more shit on everyone and making money. Now they can start prescribing drugs that will cause 20 other problems till you are either dead or your pockets are empty.


Not...really. There aren't very many drugs with indications for weight loss. Not that doctors want to prescribe anyway. Maybe amphetamines, but doctors don't want to prescribe them because they're a pain. Contrary to popular belief, doctors don't want unhappy patients.

Actually, this could do a lot to limit the more ridiculous supplements out there people advertise as reducing obesity or decreasing weight, since they could no longer make those claims (as they aren't structure/function anymore).

That should be interesting.
Darkwhite
Profile Joined June 2007
Norway348 Posts
June 21 2013 02:25 GMT
#292
On June 21 2013 11:14 Aveng3r wrote:
Show nested quote +
On June 21 2013 11:11 Akamu wrote:
Genetics are an excuse. Everyone, literally everyone has the ability to lose weight. There is no magic trick, there is no prescription. It's just how much self control you have.

Generics have a roll for sure. But saying they are the reason you can't lose weight is like saying you suck at basketball because you are 5'5". Yes it has effects but it ultimately its all on how hard you want to work for it.

be careful saying that, each case is different. Im sure genetics makes it harder for some people to lose weight than others, but I know a girl that was born with something (dont know what the condition is called) that makes it almost impossible for her to lose weight. hard to blame her for her situation.


I'm honestly curious about this. What happens if she eats less than she currently does? Will she die before she loses weight?
Darker than the sun's light; much stiller than the storm - slower than the lightning; just like the winter warm.
Arghmyliver
Profile Blog Joined November 2011
United States1077 Posts
Last Edited: 2013-06-21 03:24:57
June 21 2013 02:26 GMT
#293
On June 21 2013 09:42 Heavenlee wrote:
Show nested quote +
On June 21 2013 09:36 Arghmyliver wrote:
On June 21 2013 09:15 Heavenlee wrote:
On June 21 2013 09:13 Arghmyliver wrote:
On June 21 2013 08:52 Heavenlee wrote:
On June 21 2013 08:49 Arghmyliver wrote:
On June 21 2013 08:37 Zaqwe wrote:
On June 21 2013 08:31 Arghmyliver wrote:
On June 21 2013 08:23 RockIronrod wrote:
On June 21 2013 07:57 LegalLord wrote:
[quote]

From an article I linked earlier:
[quote]

Here the calories are tracked, and enough time passes for some people to become obese. There's some less-than-anecdotal data for you.

Their bodies freaked out and went full luxus consumption because they went from prison gruel to 10,000 calories. That's more than an Olympic athlete. It's the opposite of starvation mode, where the body retains more calories when there's a shortage of intake. Those are two ridiculous extremes that aren't naturally occurring if you don't do stupid shit to your body. Without going into extremes on either side, natural "metabolism" will never make a difference of more than like 100kcal unless you have some sort of serious medical condition.
On June 21 2013 08:13 Arghmyliver wrote:
[quote]

Sorry I misread your post. You didn't specify a caloric intake, instead using the term "maintenance level" which is a bit loaded if you consider that obviously I wasn't consuming above my "maintenance level" assuming this is your threshold for weight gain. No one who isn't gaining weight would be right? But lets assume everyone's body consumes energy at different rate. What I'm saying is - the quantity and composition of the food I was eating would have made some people overweight. I knew people that couldn't drink milkshakes without working extra on the treadmill to burn it off. Consider that now, I eat considrably less in terms of quantity but I didn't lose any weight. Even without extra empty carbs. Does that mean I have a white hole in my intestine? Or did my tapeworm die?

Or you didn't count your calories back then and are grossly overestimating how much you ate.


Okay you must be right. Is a hamburger every day more than a cup of lentil salad? Who can tell! It would be a feat of human intelligence :D! Or maybe you think you know better than everyone and refuse to consider that my memory might be better than a goldfish.

Your memory is inconsequential. As you were never counting calories in the first place, there is nothing relevant for you to remember.

Your anecdotes add nothing to the thread. People like to think of themselves as special snowflakes so are naturally biased to, for example, overestimate their caloric intake and conclude they must be blessed because they didn't gain weight. The reality is probably much more mundane and the same thing that applies to all humans: people are very bad at estimating their caloric intake.

If you truly do make calories disappear like your stomach is another dimension, I suggest you get some hard data and publish it in a peer reviewed scientific journal. Until then, your posts add nothing to the conversation.


You have once again completely missed my point here. I don't think I'm some kind of energy wormhole. I'm saying ny diet would have been invalid for other individuals in terms of weight gain. I ate as much if not more than others some of whom were unfortunately obese. If you want to come to where I live and try to make me fat I invite you to do so hut I promise you will find it more challenging than a similiar experiment performed on other individuals. Bodies do not consume energy at the same rate. I don't know what I am doing, but I am able to eat whenever I want without fear of weight gain. I use more calories than other people I guess in myy daily activity, which is interesting considering I am pretty much a couch potatoe. My brother is the same way. Seems genetic to me


dem delusions. If you want actual proof, record all of your calories and macronutrients and look at the totals of what you eat. Since it's too much of a hassle to settle an internet argument, you won't do it. And I'll still remain completely unconvinced of your anecdote.



Look, I don't know how to say this any more clearly. Even if you fed everyone on earth the exact same diet every day for their entire lives people would still have different weights and the reason, like most human differences, would be genetic. If you don't understand that I'm not sure what else I can do to clarify.


Look, I don't know how to say this any more clearly. I know EXACTLY what your argument is and I'm calling you delusional. For some reason you keep thinking me and others aren't understanding what you're saying. We are. It's just dumb. The difference is hormonal and neurological/psychological, with a SMALL genetic component. If you don't understand that I'm not sure what else I can do to clarify.

EDIT: By the way, you may in fact have some weird thing where you can eat 5000 calories and not gain weight (you don't) but that doesn't mean it's genetic either. Because there's this thing you've lived called a life, and various things you've done and chosen in that life can affect your metabolic rate.


Your ad hominem isn't very flattering. The fact that you think humans in different areas of the world never adapted to the nutrition that was locally available is interesting to say the least. If you don't want to debate that's fine, but don't call me an idiot or delusional. Especially since you have failed to provide evidence for your claim that genetics have nothing to do with diversity. I don't really have time to argue Darwin here, nor the means to link you to anything on what he did. I guess I'll just say - evolution is cool.



Your condescension of acting like I'm incapable of understanding your simple argument isn't very flattering. Where did I say that humans in different areas of the world never adapted to the locally available nutrition...? I am debating, your debating happens to be just saying random things then repeating them as if I don't understand your argument. Well, NOW I'm failing to understand your argument because you're acting like I said that genetics have nothing to do with diversity and randomly decided to bring up evolution.

I also literally just said genetics is part of obesity, but a small part that is overshadowed by hormones, calorie consumption, and psychological/neurological factors. What are you even rambling about at this point? What does adapting to locally available nutrition even have to do with ANYTHING lol? Are the fish that the Native Americans ate different on a molecular and macronutrient level than the fish that the Chinese and Egyptians ate? Did their plants contain different starch? Is anyone even talking about the various eating habits of ancient humans in regards to anything at all? Is a gram of protein in my body 4 calories but in an Asian's body 3? That would certainly be an uh, interesting argument.

edit: by the way, you've probably already read this and are maybe replying but I assume your argument here is that people became used to eating different diets based on their regions, right? Doesn't really make sense and you can see that obesity is a very recent epidemic. Especially in America. It's an extremely oversimplistic viewpoint and assumes that there were just drastically different diets between all sorts of regions to the point that within 20,000 years we developed significantly different metabolic pathways or something. Even though I've yet to see any real study showing a solely genetic-ethnic risk factors for obesity.


I'm sorry. My main point was that we should be sensitive to the fact that its harder for some people to maintain their weight than others. Its not always a simple matter of "what the fuck are you doing, just eat healthier." The fact that I don't seem to gain weight was simply an anecdote to illustrate that people are different. I guess I was trying to say that I feel bad, I've never watched what I ate and simply ate whatever I wanted whenever I wanted and it never affected me weight-wise, but obviously that is not practical for everyone. I can understand, as someone who has never needed to do this, the difficulty one might have in doing so (esp if they, like me, never have). Maybe I was secretly starving myself like you say. I was trying to be empathetic, not trying to make excuses for anyone. I'm sorry I didn't mean to offend you or be defensive, I just didn't understand why I was worthy of your derision. My apologies.

Edit: Also I wasn't suggesting that the caloric content is different between ethnicities, but rather the consumption and distribution by the body is different. Mongolians and North East Asians (Kamchatka area) - tend to be shorter and stouter due to the environment they evolved in. I think Samoans are predisposed to obesity - although this is partly due to food availability I think there have been some studies that show it is passed down through the parents. Here's an article by Brown University - http://news.brown.edu/pressreleases/2013/02/obesity.
Now witness their attempts to fly from tree to tree. Notice they do not so much fly as plummet.
Zaqwert
Profile Joined June 2008
United States411 Posts
June 21 2013 02:28 GMT
#294
Obesity is not a disease. It is an unhealthy bodily condition brought about by prolonged over consumption of food.

The word "disease" has been stripped of all meaning. Alcoholism isn't a disease and neither is obesity.

They think they are trying to help people but in reality this will just reinforce the delusion fat people labor under that their weight is somehow not in their control.
Ropid
Profile Joined March 2009
Germany3557 Posts
June 21 2013 02:35 GMT
#295
On June 21 2013 11:10 Aveng3r wrote:
3. seriously. Eating healthy is a lot more expensive and time consuming than cheap, fast food.
Keep these things in mind when talking about a general population that has a harder time acquiring and preparing healthy food than you do.

That's not true. You are thinking of all the good, lean cuts of meat and vegetables and salad and whatnot, but that's not what you'll eat. That's only the stuff needed to make the meal tasty. You'll actually fill yourself up with potatoes, rice, pasta, and that's not pricey. The time component is true. It needs to go into one slot used by one of the hobbies the person has, and that's annoying if you don't actually like cooking as a hobby. The start is also very time consuming, learning skills for the kitchen.

You also have to keep in mind that the people mentioned have to eat a diet of over 4000 kcal a day to maintain their obesity, while they'd really only need 2000 kcal with a lean body (just some somewhat bullshit numbers as an example). That's half the cost right there!

You also technically don't have to eat healthy to not be obese. People can still eat cheap fast food, just have to go hungry and torture themselves 24/7/365.
"My goal is to replace my soul with coffee and become immortal."
HystericaLaughter
Profile Joined September 2011
Australia720 Posts
June 21 2013 02:35 GMT
#296
I feel this is a more positive step than anything else. Now if you're having trouble losing weight (and its because you're lazy and eat like shit but don't know better) you can go to the doctor who can point you towards proven and effective weight-loss programs, with diet and exercise plans. In the past someone who was obese has just been told 'eat better' or 'do exercise'.

On top of this, for the very small minority of people who have some kind of condition that causes obesity, this will become much easier to identify and treat. When the diet and/or exercise isn't working, doctors will have incentive to test for these conditions and a new plan of action can be made. Overall it makes dealing with obesity in the population far easier than in the past.
My wife for hire! - Zealot
Darkwhite
Profile Joined June 2007
Norway348 Posts
June 21 2013 03:02 GMT
#297
On June 21 2013 11:35 HystericaLaughter wrote:
I feel this is a more positive step than anything else. Now if you're having trouble losing weight (and its because you're lazy and eat like shit but don't know better) you can go to the doctor who can point you towards proven and effective weight-loss programs, with diet and exercise plans. In the past someone who was obese has just been told 'eat better' or 'do exercise'.


So, the positive step is the doctor telling you the same thing as everybody already knows - fix your diet and exercise?
Darker than the sun's light; much stiller than the storm - slower than the lightning; just like the winter warm.
HystericaLaughter
Profile Joined September 2011
Australia720 Posts
June 21 2013 03:20 GMT
#298
On June 21 2013 12:02 Darkwhite wrote:
Show nested quote +
On June 21 2013 11:35 HystericaLaughter wrote:
I feel this is a more positive step than anything else. Now if you're having trouble losing weight (and its because you're lazy and eat like shit but don't know better) you can go to the doctor who can point you towards proven and effective weight-loss programs, with diet and exercise plans. In the past someone who was obese has just been told 'eat better' or 'do exercise'.


So, the positive step is the doctor telling you the same thing as everybody already knows - fix your diet and exercise?


But if you tell most people, quote: 'fix your diet and exercise', they will have absolutely no idea where to start or how to go about it. By labeling obesity a disease that needs to be treated, it sets up the proper infrastructure for doctors to give actual specific instructions to patients, and makes the educational resources for dealing with obesity more readily available. Basically it enables doctors to go one step further from 'fix your diet and exercise', to 'okay here is what you're doing wrong that has lead to you becoming obese, this is what you need to do to fix it (diet and exercise), why it works and the reasons you should be doing it. Now, begin this medically-approved weight loss schedule, the potential side-effects are blah blah, if you're having trouble for whatever reason come back etc.'

It doesn't change anything, per-say, but it does expand upon and regulate the way obesity is dealt with.
My wife for hire! - Zealot
Zaqwert
Profile Joined June 2008
United States411 Posts
June 21 2013 04:02 GMT
#299
We really are approaching Idiocracy (or Wall-E).

The fat slobs are basically a voting majority. They'll elect people who will pass laws protecting them and giving them money and subsidizing their bad behavior.

The inmates are now running the asylum.

This obesity epidemic will ruin the United States in the long term. The damage to the economy and just the overall health of the population. The world's greatest super power brought to it's knees by double cheeseburgers and mountain dew.
Zaqwert
Profile Joined June 2008
United States411 Posts
June 21 2013 04:05 GMT
#300
When I was little I remember Wal-Mart only have 1 or 2 motorized shopping cars, and you typically saw a very old, feeble person on them.

My local Wal-Mart now has dozens of these things and 99% of the time it's being used by someone under 50 who is just too fat to walk. (hello Wall-E)

Things like that are only contributing to the problem. The world should not be made easier for fat people, if anything make it harder.

Charge them more for seats in airplanes and movies, charge them more for health services, etc.

Good behavior needs incentives and bad behavior needs disincentives.

Our society has coddled people making bad decisions too much and now they are taking over (Idiocracy)
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