You don’ t need me to tell you there’s a major discrepancy between a society that touts glowing health while monitoring increasing obesity rates world wide; but forcing us to be fit may be the next big thing.
And it’s not just being thin.
Being a smoker is not an albatross doesn’t weight around my neck as my husband and I doused the fags years ago, but more cities both nationally and internationally are banning smoking in restaurants, pubs, hotels and businesses. Being a smoker in this day and age can establish you as a social pariah, despite the fact that smokers pay enormous taxes on a product they can enjoy in fewer and fewer places.
And now doctors are beginning to question the wisdom of using resources to extend the lives and quality of life to those who persist in unhealthy pursuits.
According to a survey by “Doctors” magazine in the UK, one in ten hospitals may already be refusing surgery to candidates that are obese or smoke or drink excessively. While this is currently more prevalent in hospitals that are battling debt the questions are being raised, should we provide liver transplants to people who have a history of alcohol abuse; lung replacement for smokers or joint replacement to the overweight and sedentary?
Some think the answer may be to offer incentives to those who lose weight or successfully remain off cigarettes or drugs, but Japan may be the first country to begin limiting health services to those who don’t comply.
In an effort to stem their rise in obesity levels the Japanese have instituted a program to shrink the overweight population by 10% in four years. They hope to do this by setting in place limits based on International Diabetes Federation guidelines. The guidelines, which are slightly higher for whites in the westernized world has been scaled down, based on heights and weights of the Japanese and restricts waistlines to not over 33.5 inches for men and 35.4 inches for women. While many are angered by the guidelines, many say the average Japanese person falls under the guidelines and those who are above, would be helped by the Anti-Metabo campaign that would assist in providing instruction for a balanced diet, exercise goals and after three months, reassessing the “Metabo” (which loosely translates as “Fat one”)
While I understand the problems with health costs, especially in places like Japan where the private sector may not only be responsible for the health care costs of current employees, but their families and retired employees as well, searching proactivly for a solution is admirable. The” Nanny- state” chiding, is less so.
And if the adage is true, it’s not what you eat, it’s what’s eating you; then do you really want to criticize those who may be just fractions of an inch over the limit? What about the people who’s over eating is linked to something more diffcult to measure? While that embarrassment may work as encouragement for some, how many more will walk away feeling embarrassed and in some cases, personally violated and find solace in the bottom of a box of chocolates (or those ramen bowls that are packed with fat grams)
And if you think you can ignore it and it’ll go away, Japanese bureaucrats have worked that out too. For those who were discovered to be above the specified measurement targets, scheduled mailings to recalcitrant “Metabos” remind them to make an appointment to be measured again. The “Or ELSE” may be implied for now, but suggestions are that failure to be part of the “Anti-metabo” program could result in shunning, loss of wages and even the loss of some healthcare benefits including certain prescription drugs.
Is this the last bastion of discrimination? Survival of the fittest and to hell with the fat,smoking alcoholic?
I can see it now. Despite injuries to four passangers in a car, only one person is brought to the hospital. “We would have brought the rest, but one had been drinking, one had been smoking and it was hardly worth breaking out the jaws of life for the man with the 36 inch waist.”