i’ve started looking at weight and health the way i look at class and income and it really puts a lot of things into a new perspective.
let me explain: in america at least, the lower class have significantly worse health outcomes, even when accounting for other factors. just being poor is enough to make your overall health worse. we don’t know that being fat makes your health directly worse, like the data just isn’t there, but for a moment, pretend it does.
imagine going to the doctor with a health problem and the doctor looking at your chart and saying well, this problem will be less severe if you go up an income bracket. have you thought about becoming rich? it would really help. start by saving a little money every month.
ridiculous, right?? very few people successfully go from working class to rich, it just doesn’t happen on a large scale in society. maybe for a time you pick up some overtime hours, spend a little beyond your means, and appear rich. but eventually you burn out, your car needs to be repaired, and you return to being working class.
we do have this data: only some people can successfully lose large amounts of weight, and only a tiny fraction of people who lose that weight actually keep it off for more than a year. telling people to lose weight for their health is just absurd because they almost certainly can’t do it any more than they can double their income for their health.
and yet i see it everywhere. a little poster in my work breakroom tells me to improve my blood pressure by losing weight! a psa on the radio says you need to take care of your heart by losing weight! we can’t even conclusively prove that weight is the cause rather than just correlated with a lot of these problems but here it is offered anyway: have you tried being rich?
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