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Is it fair to fine fat people for not dieting?

I agree about water...I can get a 24 pack of bottled water cheaper than a 12 pack of soda...that isn't generic.
 
Well, you can give as many excuses as you want, the bottom line is, I wouldn't worry unless your standard of living is effected by poor diet and no excerise/Or you live in that part of AZ (or the whole of AZ) where'd you'd fall into that bracket of; fine or diet.

I have no sympathy for those who drink soda and hate water, even if tap water is rank, bottled water 'here' is cheaper than soda.

Water is my favorite beverage. :)
 
Hummm...I'm a bit worried about the slippery slope here....regulating people's personal lives that closely is kind of scary, because knowing our government, they will find some way to extend it to the rest of us. Those who smoke, drink or overeat (or even eat red meat) should pay more in social security taxes, for example...since they are more likely to have expensive medical problems later.... And the next thing you know, we have even higher taxes that for some mysterious reason will never go away, because as we all know, once the government becomes dependent on that money, they are disinclined to give it back.

But in addition to that, I can easily see this turning into a platform for an increase in payment amounts. I mean, it's a hell of a lot more expensive to eat fruits and veggies and low fat proteins than it is to eat mac & cheese, mashed potatoes, and hamburger.....
 
My biggest problem is exercise.

There are times when my arthtitis is so bad that just walking around the house is painful. How can I possibly stick to an exercise regime at such times?

My second biggest problem is my love of chocolate (but I have that semi under control).
 
This thread actually made me go to the gym tonight, although, to be honest, I did go on a whim, which was also cool; I managed to finish my work out half an hour before they closed. :)

^Would you still love chocolate if you knew what was init?

I once saw how Heinz Mayonnaise was made, live at 'The Idle Home Show' in the 90s. Put me right off.
 
A lot of you are throwing around reasons that take responsibility away from the person--"the grocery store is too far away", "they don't have a car and can't get any decent food", "they don't know how to eat anything but crap", etc. That may be true for some people, but I've never known anyone like that and I've known plenty of obese people. So there may be people with those challenges, but they are certainly the minority. If those are the real reason, or even major contributing factors, there should be a much higher rate of obesity among people who fit those descriptions. Where are those data?

I just don't believe the reasons you all are giving are a factor in any but a small minority of cases. I also don't believe food is the major issue. 50 years ago people ate worse than we do now and there were a lot fewer obese people. We eat a lot more sugar now, but less fat. The main thing, however, is that we're not nearly as active as we used to be. Parents are scared to let their children play unsupervised, so now kids don't roam around doing all the active stuff they used to. They only play with friends when their parents get together and arrange a play date. They only play outside when their parents take them to the park. That doesn't happen often because both parents are working and don't have the time. Their yards are too small to play any real games, so they sit inside and play video games and watch TV. Adults work all day in an office then go home and sit in front of the TV or computer all evening. They might go to the gym a couple hours a week, but that pales in comparison to doing actual physical work. Food is a factor, but I believe changes in activity levels are a much larger factor.
If you don't mind my asking, how many of those obese people that you know are existing at or below the poverty line? Because that's who we're talking about when we are considering fining Medicaid beneficiaries for unhealthy eating. If you have the means to get to a supermarket, can pay the extra money for healthy ingredients, have access to a computer or a class to learn how to cook, then that's on you that you're not doing it. And your insurance company (which is collecting monthly premiums from you and/or your employer) doesn't give a rat's behind about it until you end up in (very expensive) ICU with a triple bypass -- until then, they're not fining you.

Laying down a rule without examining the obstacles to compliance, or as T'Bonz points out, actually helping people learn how to lose weight is pointless.
Actually, a fair number of the ones I know are below the poverty line. I'm not sure that matters, however. To blame a poor person's obesity on their lack or transportation or some other factor but blame another's on their poor choices is inconsistent at best. My point is there are plenty of obese people who can get to the store just fine. Why can't a Medicaid recipient's obesity have the same cause as someone else who isn't a Medicaid recipient? So many of you are eager to remove all responsibility for a Medicaid recipient's obesity from the person and assign all blame to society and you make a lot of assumptions and generalize their conditions based on the conditions of what is likely on only a small fraction to do so. If you want to cure the obesity problem, you need to figure out what the actual cause is, even if that cause is the fault of their own poor decisions. Good luck figuring it out, by the way. There are a lot of people much more knowledgeable about it than anyone here who have studied it for years and they can't nail it down either.
 
I think for some people, there are additional barriers. It's not that it makes it impossible, it just makes it that much harder. I can't eat most fruits and some vegetables, so I really have to try hard to meet certain nutritional requirements. I'm allergic to everything outside (and some things inside), plus I have a really bad back, so my exercise is limited to cardio machines in the gym when I'm not in immense pain.

I understand about not being able to eat all fruits and vegetables, though I try.

About the exercise machines...have you had any luck with a recumbent exercise bike? I have a bad back too but that kind of bike seems to work for me.
 
Yeah, if one has health issues, exercise can be limited. I can't do a lot of useful things that I did when young, due to severe degenerative disk disease. If I fuck up the neck, it's a herniated disk and that means 6 weeks on the couch and being so helpless that the husband having to bring my coffee. Obviously, that is NOT what I want. I've done that too many times and I avoid it like the plague now by being careful. And that's in addition to rheumatoid arthritis, which limits some activities.

Pretty much, I can swim, which I don't like, or either walk or bike ride, which I do like. I began walking a month ago, and 3 weeks ago, switched over to the bicycle because it was "harder" and more effective exercise. I like both walking and bicycling, but that's about all I can do. I wish I could run. I used to love to run and do aerobics, and even work with light weights, but those days are done forever.

I think that given how different each person is, and how so many factors contribute to obesity, blaming it all on one being a pig and demanding that people diet and exercise and just fucking lose the weight is a bit simplistic. I'm lucky that I'm only overweight (I need to lose 22 pounds and expect to have it off by next year), but others have a harder road and some have health issues and medicines they take that interfere with weight loss.

In my case, I can't take any diet pill type meds as I'm on meds for the arthritis. I'm sure others who are older or have health issues for other things have that kind of issue too.

The point of it all is that neither weight gain nor weight loss is simple and easy to fix. It is true that people are apt to blame the gain on anything but their habits (I don't myself, I gained weight 'cause I ate too damned much and too many bad foods), but blaming or fining doesn't do jack but make those who aren't heavy feel superior.

I feel nothing but compassion and pity for those who are obese. Just being overweight is annoying enough. I can't imagine not being able to fit in seats, or having to shop at specialty (expensive!) stores, etc. Then they have to put up with rude assholes giving them grief.
 
So many of you are eager to remove all responsibility for a Medicaid recipient's obesity from the person and assign all blame to society and you make a lot of assumptions and generalize their conditions based on the conditions of what is likely on only a small fraction to do so. If you want to cure the obesity problem, you need to figure out what the actual cause is, even if that cause is the fault of their own poor decisions. Good luck figuring it out, by the way. There are a lot of people much more knowledgeable about it than anyone here who have studied it for years and they can't nail it down either.
farmkid, perhaps you shouldn't make assumptions about the people who post on this board and what they know or have studied. Just saying.
 
I think for some people, there are additional barriers. It's not that it makes it impossible, it just makes it that much harder. I can't eat most fruits and some vegetables, so I really have to try hard to meet certain nutritional requirements. I'm allergic to everything outside (and some things inside), plus I have a really bad back, so my exercise is limited to cardio machines in the gym when I'm not in immense pain.

I understand about not being able to eat all fruits and vegetables, though I try.

About the exercise machines...have you had any luck with a recumbent exercise bike? I have a bad back too but that kind of bike seems to work for me.
I have actually, and strangely that was one of the most painful for me! I find that the elliptical is the best for me. Something about the low impact and slight rotation with my torso seems to generally be okay.
 
So many of you are eager to remove all responsibility for a Medicaid recipient's obesity from the person and assign all blame to society and you make a lot of assumptions and generalize their conditions based on the conditions of what is likely on only a small fraction to do so. If you want to cure the obesity problem, you need to figure out what the actual cause is, even if that cause is the fault of their own poor decisions. Good luck figuring it out, by the way. There are a lot of people much more knowledgeable about it than anyone here who have studied it for years and they can't nail it down either.
farmkid, perhaps you shouldn't make assumptions about the people who post on this board and what they know or have studied. Just saying.
I'm sorry. I didn't realize you were a scientist studying the issue. It seemed to me everyone here was giving their opinions based on life experience, not their own scientific research. I guess I was wrong in your case.
 
What this thread's topic is ultimately about, once you strip the fat away (sorry, couldn't resist) is whether the best health care is a universal right, or a transactional service.

If it is the former, the fine is ultimately unfair. If the latter, it is eminently fair. I can't think of a single country that has adequately delineated whether health care is a right or a service (and I include those who have signed various pieces of paper to say they think it is a right), so we are left with what is ultimately an unanswerable question.

Historically, it's certainly been much more of a transaction between health care provider (however abstracted that entity is) and recipient. Under that framework, any fines would have to be agreed with as part of a contract, with informed consent by the recipient, in advance of the fine being given.
 
I think basic health care is a right, but the best health care isn't. My definition of 'basic health care' is very broad and would include treatment to help obese people lose weight.
 
I don't think it's fair, I think it's funny, :) kidding.
The vulnerable are already exempt, so no real harm can come of this.
(The $50 Fine for Fat People in AZ law.)
 
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