Sunday, September 09, 2007

The economic impact of obesity.

I wrote the following article for a column in the New York Times, where I focused solely on the economic impact of obesity.

The Freakonomics column on the New York Times I wrote for has since been moved to the Freakonomics website here:  Economic Impact of Obesity

Obesity is a multi-faceted disease fueled by Americans’ poor eating habits, complacency and sedentary lifestyles. While the physical and emotional impact of obesity on a growing number of Americans is glaring, what truly makes obesity an epidemic is the economic impact it has on all of us.
People underestimate the economic effect obesity has on our society. The Center for Disease Control has concluded that illnesses associated with obesity cost the United States $93 billion a year in health care costs. Eric Finkelstein, a health economist at the nonprofit RTI Institute, wrote, “about half of the total cost of obesity-related health care is paid by the government through its Medicare program. For every American citizen, the out-of-pocket tax cost is an average $180.” This dwarfs the $13 billion businesses lose each year from obesity-related medical fees, absenteeism, and decreased productivity (as reported by the National Business Group on Health). Many of these obesity-related business costs are passed down to consumers in the form of more expensive goods and services.
Obesity, like many diseases, has no simple cure that alleviates its negative consequences. The government’s increased involvement and spending on health education, research and obesity programs, combined with our desire as a society to lead a healthier lifestyle, are the driving factors towards finding a solution. The question is, do we invest a lot of time and money fighting obesity now, or pay an even higher price down the road?

Childhood Obesity programs in Arkansas going the wrong way.

For those that weren't aware, Arkansas became one of the first states to have a childhood obesity report card program, where school children were weighed once a year, their BMI calculated, and this information, along with any obesity related concerns, were sent to the kids' parents.

Unfortunately, Arkansas just took a BIG step backwards in the fight against childhood obesity. While they did not ditch the obesity report card program, what was once yearly mandatory weigh ins for students is now an OPTIONAL every other year program. So the kids get weighed half as often, and parents who claim that these report cards "are bad for their child's self esteem" can pull them out of the program all together.

Kids that get pulled from the program won't be factored into the state's childhood obesity rates, making those statistics worthless.

But I guess in the end, legislators and parents feel that removing a once a year ding to a child's self esteem is more important than their long-term health.

To me this type of behavior is what's contributing to the out of control spiral of what is known as childhood obesity.