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Monday, July 30, 2012

On the Menu in America: Obesity -- and Economic Ruin

Most Americans say obesity is either an "extremely" or a "very serious" problem to society, even more than cigarettes, according to a recent Gallup poll. Let me tell you, this insight hasn’t come a moment too soon.

At $2.5 trillion annually, America’s biggest budget problem remains healthcare costs. The U.S. healthcare bill is three times the size of the defense budget and nearly two times the whole Russian economy. It is also roughly twice the size of the whole Indian economy, and India has a billion-plus population.

These comparisons always blow me away because healthcare is breaking America faster than promises to pay Social Security and other pension benefits. And healthcare is growing at an average of 6% per year, which means the new costs over the next decade will be a staggering $10 trillion. That is new cost over and above where we currently are.

Let me cut to the chase. What's driving these costs are epidemic rates of obesity and diabetes. Obesity is the primary cause of Type 2 Diabetes and a major contributor to chronic disease. Chronic disease, like diabetes, is the engine for much of what goes wrong with many Americans’ health. If the country knocked out obesity, I’d argue that the United States of America would roar back -- unburdened by unsustainable healthcare costs -- and the country’s economy would be a hell of a lot stronger than it is today.

If Americans became a lot more physically fit, the $2.5 trillion would shrink dramatically. Even if it dropped by a third, the country’s economy would be fixed, in my view.

Simply put, many Americans just weigh too much. They eat tens of millions of cows, pigs, and chickens each year. Probably no tribe of people in the history of humankind has devoured this many animals.

Now eating these animals is just fine. This isn’t an argument for a national conversion to vegetarianism. But raising a cow or a chicken and then butchering it is very, very expensive. Grain is more expensive now than ever and each animal requires a great deal of clean water through life, and then a great deal more through slaughtering. Americans have to substantially cut their meat consumption.

And there’s a potential additional financial benefit to doing this. America’s farmers and ranchers could still produce a full herd, but sell the new overage to overseas markets, especially China. If Americans would be willing to eat fewer hogs, cattle, and chickens -- and export what they don’t eat -- the country could work off the massive debt it currently owes China. Let their citizens consume the animals Americans don’t.

Here’s a simple, clear recommendation: Americans should cut the number of cows, pigs, and chickens they eat by one-third. This could start at the city level, with business and government leaders creating campaigns and initiatives to reduce meat consumption in their towns. If such efforts were to spread from city to city throughout the U.S., it would be breathtaking and this would fix the biggest problem facing the country’s economy. It would cost less for Americans to eat -- and eating less would cut the country’s obesity rates, its healthcare costs, and thus its national debt.

41 comments:

Bharat K said...
July 30, 2012 at 3:15 PM  

The author has addressed the eating disorder, the potential effects of unhealthy people on a nation's economy and also gave an interesting relation on how to ensure that existing supply chains that cultivate the unhealthy stuff can find new avenues to market their products.

Also I want to add to this discussion a key point on the kind of work US citizens have got accustomed to do in the past few decades.

Most of them consume the amount of food that is reasonable for labor who perform physical activities like Construction,Lawn moving and other service activities.

Interesting thing to observe is all these service activities that need physical energy have been moved to China and whatever left is being done mostly by Mexicans and other south american immigrants.
So i think bringing back the industries to home should help physical labor to thrive thus making them burn more calories that they eat and even spend some money to participate in wellbeing programs rather than pay health insurance premiums.
Win-Win situation.

Anonymous said...
July 30, 2012 at 5:41 PM  

I like the way Jim has called out our nation's meat consumption by the specific animals involved. This description is much more evocative and forces the reader to think more about the upkeep of these animals. What's not mentioned are some of the secondary effects. For example there is serious waste runoff from all of these industrial animal farms. Hog farms in NC are contaminating the drinking water. Think of the healthcare implications there.

Anonymous said...
July 31, 2012 at 2:33 AM  

Or Americans should just stop being so greedy. In high school, I remember a bunch of guys bragging about how they could eat two BK whoppers in a row. Think parents, think! Is this what you want to be teaching your children? And by God, we need to incorporate exercise into our daily routines. Not trying to brag, but I noticed a couple of months ago that I was starting to develop a belly. At 5'6", I came in at 150 lbs. and realized that I was above my ideal weight. As part of my New Year's resolution, I decided to take up swimming and now come in at 139. Discipline and consistency are the keys to fixing this problem.

Anonymous said...
July 31, 2012 at 7:35 AM  

Agree 100% with this article. Italian demographics can confirm the trend; the Northern diet is more carnivorous whereas the Southern Italian delights in fish and veggies. All one needs to do is compare stats in both areas. Too bad the variety of available vegetarian options is being reduced by massive monocultures in the US though. And if we are going to be eating fruit, grains and veggies, we might want to figure out how to keep our bees alive.

Anonymous said...
July 31, 2012 at 4:46 PM  

I would like to see more details given in the areas of...

1. Using feed/food crops for fuel and impact on animal production and food
2. Highly Processed food and diabetes and weight crisis

Thank you

Anonymous said...
August 3, 2012 at 11:57 AM  

While I agree that obesity is a huge problem that needs to be addressed, lowering meat consumption alone will not solve it. People also need to reduce and eliminate processed foods from their diet. And this is tricky since wealthier Americans can afford whole foods while those who aren't must be satisfice (for a number of reasons ranging from availability of foods in their neighborhood to work schedules) with fast food and processed foods.

Anonymous said...
August 5, 2012 at 10:59 AM  

Defense spending is $665billion, Medicare and medicaid is $940billion. Much of the trillions in health care spending is for over priced drugs that are less effective but promoted instead of more natural alternatives with less side effects and less future complications that require yet more drugs.

Anonymous said...
August 5, 2012 at 11:55 PM  

Over-eating is particularly repellant in a world where so many do not have enough to eat.
Obesity looks like it is shaping up (pun intended) to be the new smoking.

I also "like the way Jim has called out our nation's meat consumption by the specific animals involved".

A final point, there is enormous suffering caused to these animals in the industrialisation of meat production. If they were treated humanely, I imagine costs would increase, and consumption would go down.

This also is not an argument for vegetarianism, rather it is an argument for humane carnivorism.

StoryFab said...
August 8, 2012 at 3:00 PM  

Jim - On the main point, I TOTALLY agree with you. The cost of healthcare is something WE must solve by limiting, as much as possible, our consumption of healthcare. Government can't do that for us; friends and family can't do that for us; and certainly our physicians can't (or won't) do that for us. Few things are more exasperating than people who moan and sigh about being overweight yet consume food and drink with abandon and refuse to exercise regularly.

But while the tenderhearted idealists who long for a bloodless utopia are singing your praises, someone needs to take issue with your over-generalized indictment of the meat industry as the exclusive source of the problem. Although meat products contain saturated lipids (risk factor for CVD) and a dose of LDL ("bad" cholesterol, which is a key risk component of atherosclerosis), it is also expensive and doesn't represent a disproportionate part of the average American diet.

Far more pervasive and damaging than ingesting animal protein is the consumption of refined sugars and starches, which have repeatedly shown a strong causative correlation to obesity and risk of diabetes.

By shaking your head sadly at the sight of that overweight child consuming a quarter-pound (before frying) disk of juicy (i.e., fatty) ground beef, you seem to miss seeing how it is dwarfed by the supersized combo meal: a thick white-bread bun, a half pound of starch- and oil-laden french fried potatoes, and a bucketful of carbonated sugar water. And it's not just the fast food combos. The July Retail Sales report of the National Confectioners Association marked a 3.8% growth rate for chocolate products, which is considerably better than the rest of the economy!

When all that starch and sugar hits the bloodstream, it not only strains insulin production beyond capacity, it also triggers the body's energy storage mechanisms.

So, yes, eating too much meat can contribute to poor health, but if we could tag molecules and trace American body fat back to its source, I'd put money on most of it coming from sources other than meat.

So let's stay together on encouraging our fellows to regulate their good and bad behaviors toward better health, but let's do it without losing a balanced view of how it is done.

Anonymous said...
August 9, 2012 at 10:10 AM  

I agree with the post above that lowering meat consumption alone will not solve the obesity problem. What needs to happen is for overweight Americans to lay off the gargantuan sugar laden soft drinks, the greasy French fries, the triple cheese lovers pizza and all the other gut bomb deserts and snacks that so many folks stuff in their pie hole every day. In an ever growing entitlement society we are passing on to our children and grandchildren a cost that is going to bankrupt the republic.

Anonymous said...
August 9, 2012 at 1:48 PM  

Hi Jim,

Let's start with reducing our consumption of sugar, not meat.

Anonymous said...
August 9, 2012 at 2:05 PM  

This is NOT a real solution. It's only half of a good idea. Meat producers and unions will never allow a city or regional campaign to cut into their profit without major lawsuits. Without a plan to cut through the legal and political hurdles, it's simply wishful thinking.

Anonymous said...
August 9, 2012 at 2:39 PM  

While the author's remarks regarding obesity and diabetes are correct, his assumption that it's due to the consumption of meat is totally off base. More and more evidence suggests that it's the consumption of sugar and processed grains that's making Americans obese. The cure for this epedimic in America is the elimination of sugar and starch from our diets and greater consumption of nutritious, fiberous vegetables along with meat and cheese. Eating less meat and more junk carbohydrates will only make the problem worse!

Anonymous said...
August 9, 2012 at 4:57 PM  

I disagree with the article and good luck getting cities to implement the plan.

I agree with those who said processed foods are a big part of the problem. Get that off the grocery store shelves and the problem will have a chance at being resolved.

In addition to that marketing of foods in the U.S. encourage overspending and overeating. The fast food chains are largely responsible for this with their "supersize" advertising. Even if they are offering better choices now, the damage has already been done.

Most Americans are clueless when it comes to what's in food items. Something might say it's low fat, high fiber, low carb, low cholesteral, high protein, or whatever the fad of the day is, but being one thing often means it's really bad for you in something else. For example, something might say low calorie, low fat, but may be loaded with salt or sodium or carbs. Lots of sodium can lead to high blood pressure, for example.

Let's discuss the diseases mentioned. Obesity is not the leading cause of diabetes. One must first have the predisposition to become diabetic or have the bad luck of being born into a bad gene pool. One patient said, it's because I'm a little overweight, right? No, it's because there has been diabetes in your family, even if none of them knew it. You have had this disease for 44 years (the patient's age), it just hasn't manifested itself until now.

Additinally, if obesity is part of the cause for diabetes, why can't nutrition services be offered to patients who want it prior to being diagnosed with diabetes. You cannot get a nutritionist covered by health insurance unless you have some disease like diabetes. Why not add nutritionists to preventive care coverages? Then the health care costs of high priced drugs to control high blood pressure and diabetes would be greatly reduced.

Anonymous said...
August 9, 2012 at 6:52 PM  

If epidemic rates of obesity and diabetes are major factors in increasing health care costs, by all means we should take preventative actions.

I'm not sure substantially cutting our meat consumption is the answer. I'm not a nutritionist, but I have lost weight over time and kept it off for years through better eating habits and exercise. To me the key is reducing our intake of sugar and processed foods.

Anonymous said...
August 9, 2012 at 6:58 PM  

In America we do a number of things wrong driving us into obesity. One of those is simple mis-use of corn-syrup and other starches. One of the biggest is pop.
Without going into that, lets just point out, what we do to food is make it more attractive than normal hunger expects. If we wouldn't do such a good job of making it 'tasty' we would stop before over eating.
As an extention to that, sugars similar to how we created pop, once consumed, extend our appetite such that we, again, feel more hungry than we need.
We should stop treating food as entertainment.It's for heath not fun.

Anonymous said...
August 9, 2012 at 8:55 PM  

I find it interesting that the author makes such a simplistic argument for the "obesity epidemic". It is a much more deep & complex issue than just eating or not eating "meat". This explaination doesn't address the fact that Amercians by nature live very "unbalanced" and extremely stressful lifestyles that creates and contributes to many of the problems associated with obesity and NIDDM (diabetes). Also, it doesn't address the growing numbers of people who have "disorderd eating" issues which for many have emerged from a lifetime of chronic "yo-yo" dieting. Obviously, adopting a more active lifestyle (safe exercise) and eating a diet with less processed and more nutritious food can significaly help. However, the author clearly doesn't understand the complexity of this issue. Not every "obese" or "fat" person is just simply a "fat or lazy slob". For most there are deep seeded emotional and life style issues that need to be addressed. Our current public health and medical professionals have very little clues on how to really address this. The answers lie elsewhere if individuals are willing to look.

BHorton2 said...
August 9, 2012 at 10:45 PM  

Woven through this article and most of the comments is an unwritten word, "culture." Not the culture of a particular ethnic group, but the "net culture" of our individual communities and our nation as a whole. Hence, the most intense fact-finding needs to target successful culture change management programs operating in large groups of people such as the Minnesota Heart Health Program. Additional focus should be paid to programs that have successfully drawn for most of their resources on their own community. "Locally owned and locally operated" will be a key to affording broad adoption of such programs on a affordable basis. Undue federal program funding could actually erode such an effort by diluting necessary local commitment.

Mark Osborne said...
August 10, 2012 at 2:04 AM  

This is a multifaceted problem with all the following playing a part:
- Processed foods, especially refined carbohydrates and sugar
- Heavy consumption of animal foods
- Modern grains
- Government farm subsidies
- Third party payer health insurance
- Industry biased nutrition guidelines from the USDA
- Our bias for disease treatment over prevention

Given our cultural norms it's hard to imagine us overcomming all the momentum that has us heading in this direction.

However the combination of our growing health crisis with our looming economic crisis may create just enough of a crisis to stimulate real change.

Rajan said...
August 10, 2012 at 3:57 AM  

Americans need spiritual inputs to understand that less is more. America has been too busy too long wanting more in every aspect of their life. Continually striving to satisfy the five senses. taste of food is only one of the five senses being satisfied. Americans need to focus on how to enhance purpose in life where the five senses are not involved. The spiritual quotient will go up if the materialism is not the focus.

Dyer Straights said...
August 10, 2012 at 8:03 AM  

Eating meat is not what makes people fat- look at the Massai in Africa- their diets consist almost exclusively of meat. What makes people fat, and what contributes so much to type 2 diabetes is over consumption of sugar, most of which in this country is derived from corn, which also takes land, energy and water to produce. Even worse, taxpayers subsidize the production of this corn-sugar. While I agree with the premise that obesity and its related maladies are a significant drain on our economy, it is not the consumption of meat that is fueling the epidemic.

Anonymous said...
August 10, 2012 at 8:54 AM  

This is too simplistic of an argument to be of any value. Eat less meat and all the country's problems will be solved? Really? And obesity is the only cause to the health care costs continuing to rise? That is simply not true. What about the costs of treating senior citizens who are long past their prime? What about keeping premature babies alive, and the lifetime of medical issues these kids have, not to mention the expense? There are way too many reasons that healthcare has grown, and saying "if everyone was thin the problem would be solved" is just unrealistic. Not too long ago it was said "if everyone quit smoking, the problem will be solved" and now smoking rates are significantly down and the problem still isn't solved. As I said, too simplistic an argument to be of any value. It's not just one thing, there are multiple reasons, and pointing a finger in one direction is not solving the issue. It only serves to alienate a segment of the population.

Anonymous said...
August 10, 2012 at 9:30 AM  

So glad to see this article! Waste, sloth, and gluttony were considered sins for a reason. The last few days I've been playing a little game as I ride the subway or bike around town. It's called, "Who is in shape?" I'm not in great shape myself, and I thought it might inspire me to look at people who are.
Problem is, they are so hard to find! Everywhere I look women 20 years younger than me are pudgy and sluggish, with wads and rolls of chub all over their bodies. And I live in one of the "fittest" cities in America!
You are right, we are destroying our self-respect, destroying our bodies, destroying the environment, destroying the economy and causing huge amounts of needless suffering to animals all because we can't put the damn fork down.
I am a vegetarian, but I know it's not the right choice for everyone. I have no problem with people eating very moderate amounts of meat that is humanely raised. But shoving huge portions of factory-farmed flesh into their mouths three times a day? Revolting.

Anonymous said...
August 10, 2012 at 9:52 AM  

I am a member of a group of obese individuals who, with intense medical help (that we pay well for) are working - not just to lose weight, but also to deal with related issues including self-esteem, support networks, nutrition, appropriate exercise, health care affordability, and individual medical realities.

Weight-based programs are notorious for lack of long-term success; and I think that is because these other issues are often more important.

Anonymous said...
August 10, 2012 at 10:42 AM  

WHO is going to bring up the fact that we really don'[t know what the scientific community has done to our food supply!!! An example is the genetic engineering of wheat so that it grows faster and produces more product per stem. The was a collaborative effort between the US and Mexico, and now what we have is a product that is included in almost everything we eat. "After-the-fact" is what is most troubling because now the discussion is that there may be an unintended consequence to this genetic alternation which effects the way we gain or lose weight!!!

I'm not so sure that the reason Americans and people across the world are over weight necessarily because they over eat. Perhaps it has something more to do with preservatives in our canned goods, frozen products and bagged vegetables. What is added to a salad mix that makes it keep for at least a week after you buy it? What is added to meat so that it ALWAYS looks pretty and red in the meat counter at the grocery store?

We don't KNOW what the government has done to our food supply without our knowledge!!! Perhaps it is past time to grow our own food WITHOUT pesticides, growth hormones, and all the other things that are not good for man or beast!! I know it is easier to buy the salad ready to eat, or pre-cooked meat products that you can serve in 2 minutes . . . but what indeed is the real cost in terms of overall health?

Eva A said...
August 10, 2012 at 11:00 AM  

Thank you for the Tough Love commentary!

Anonymous said...
August 10, 2012 at 11:10 AM  

I think the way american cook also lead to obesity and diabetes. Too much sugar, too much oil (deep fries).

Anonymous said...
August 10, 2012 at 11:14 AM  

Let's first address our FDA and it's refusal to label GMO foods and their endorsement of foods and drugs based on payoffs and lobbists. We need to get back to eating fresh food prepared at home; not processed food from a box. Problem is, good quality fruits and veggies, organic diary and meat, are too expensive for those with children. We make it too cheap to eat poorly in this country.

Scott Alexander said...
August 10, 2012 at 11:57 AM  

Jim,

I appreciate your approach, but I think you've chosen the wrong target.

It's our unrestrained consumption of high-glycemic carbohydrates (High-Fructose Corn Syrup, as an example) that is causing both obesity and diabetes, not animal products.

Clinical studies like Stanford University's A TO Z study highlight that a diet high in animal protein and fat / low in carbohydrates performs better than a diet providing the reverse AND better than a traditional calorie-restriction diet. It's not just how much you eat, but what you eat that determines body make-up and animal products are shown to be a good thing in this equation.

What we should do is stop subsidizing the corn and wheat production that makes HFCS so darn cheap as an additive and ship considerable amounts of those products to others.

And for those that would counter with the fact that food would become more expensive and disproportionately affect the poor in this country as a result, I contend that the net reduction in healthcare spending associated with a healthier population will FAR FAR outweigh the increased cost of food for those groups. We could easily divert just 10% of the savings to subsidize families in their effort to get healthy food - the best medicine you can have.

Anonymous said...
August 10, 2012 at 12:48 PM  

While I agree with the arguments of this article, I would like to see the supporting data instead of just waving hand estimates such as "even if the cost is dropped by a third".

Amanda Carlson said...
August 10, 2012 at 1:29 PM  

I agree that we need to address obesity as a society, and a grassroots, city by city initiative is a good way to tackle it. I personally believe that a program to help lower obesity rates is going to need to address personal image issues and health education, in an engaging, fun way. If the program isn't fun, it won't engender daily participation. Without daily participation, it will be difficult to alter lifestyles, which is at the core of this highly personal, deeply emotional issue. I applaud Gallup's Chairman/ceo for tackling such a sensitive, vital topic, and for illustrating the ramifications of doing nothing!

Anonymous said...
August 10, 2012 at 1:43 PM  

All things in moderation - meat, vegetables, sweets, drink, exercise will help set the right track.

Anonymous said...
August 10, 2012 at 2:43 PM  

If U.S. meat consumption is falling and obesity rates are climbing (both according to Mr. Clifton), how can meat be the cause of our obesity problem?

Molly said...
August 10, 2012 at 5:46 PM  

As a Medical Doctor and lobbyist representing medical students, residents, and physicians I think I might be able to elaborate on the problem with some expertise.

The players mention in the post by Mark Osborn covered a lot of "players" but forgot to mention the fundamental reason why this problem will be nearly impossible to fix with our current political environment:

BIG FOOD -- corporations lobby Congress with obscene amounts of money allowing the overproduction of food to continue.

BIG SODA -- who are poisioning the American populace with toxic high fructose corn syrup administered in large volumes

BIG GOVERNMENT -- who subsidize farms & allow BIG FOOD lobbyists into their offices.

BIG AMERICANS -- who believe it is their right to be fat and that the government will take care of them. Medicare isn't keeping track of costs. We will need to ration our resources.

BIG EDUCATION -- who do not believe "home ec" is worth teaching a generation of kids who have no idea how to feed themselves because their parents never learned.

BIG PHARMA -- who are making ridiculous cash on diabetes drugs and needles and other tools to treat a preventable and reversible problem (DMII).

"This is a multifaceted problem with all the following playing a part:
- Processed foods, especially refined carbohydrates and sugar
- Heavy consumption of animal foods
- Modern grains
- Government farm subsidies
- Third party payer health insurance
- Industry biased nutrition guidelines from the USDA
- Our bias for disease treatment over prevention

Molly said...
August 10, 2012 at 7:32 PM  

Actually, meat is not the cause of our obesity problem: CORN is. We need to cut subsidies to that which feeds the cows, corn, and pigs.

Acai Berry Supplements said...
August 11, 2012 at 2:15 AM  

The primary cause for the obesity is due to unhealthy food practice and less physical exercise. The food one chooses to eat plays a vital role in determining the health of the body.

Anonymous said...
August 14, 2012 at 6:47 PM  

Um, sorry, but eating meat is not a contributor to diabetes. Eating sugar and processed food is.

Anonymous said...
August 17, 2012 at 11:10 AM  

Last I check we are still mostly a Free Country. Eat Drink whatever you want. Just get the goverment and others out of paying for what you do or eat. Make people pay for themselves and you will see a change. If people can rely on others to pay their bills nothing will change.

Anonymous said...
August 20, 2012 at 6:13 PM  

Jim; thank you for stating your arguments so clearly. I harken back to "Diet for a Small Planet" (1971)that I read as a young woman. I have been a vegetarian since I was nineteen (35 years now)for all the reasons Frances Moore Lappe cited and which you raise again. Our diets and habits are killing us and we expect insurance companies and doctors in the U.S. to perform miracles. Time to look at root causes.

Mark T said...
August 21, 2012 at 12:23 PM  

One of the contributing factors is the lack of shame associated with obesity now. The obese are now a protected group in terms of harassment. I'm not saying we should go out and ridicule every fat person we see, but a little shame couldn't hurt, and may provide incentive to become fit again.

Anonymous said...
November 18, 2012 at 1:05 AM  

Obesity is one major cause of serious diseases, but there is no explanation why treatment of a serious diseases needs to be so expensive in USA. The real problem is the oligopoly of 4 major insurance companies that have managed to capture virtually every supplier and hospital that render medical services, and rigged the dollar figures of all invoices to triple or quadruple above production cost. You can simply not find anymore doctors and hospitals that would send a reasonable bill that would be something like: actual cost + 20% profit markup anymore -- this option has disappeared from the marketplace many many years ago. Insurance company greed keeps millions of Americans out of basic medical help, due to inflated costs. At the same time people are enslaved by ruthless corporations that make people work til they drop -- as soon as you stop working -- your will immediately be stripped of affordable healthcare for your family. The corporate pool and tax deductions is replaced with individual pays all without deductions and high risk pool premiums. Yeah, sure its just fat people causing the problems. Stop stuffing your face with fries and lard. This is as easy as asking the billionaires to stop stuffing exorbitant profits in their pants?

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