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September 2003

Keeping Fit for a Lifetime

Kraft Foods says it will clean up its marketing and nutrition acts. Some restaurant chains are putting calorie values on their menus, so maybe instead of those little hearts next to the chef salad and skinless chicken entrees, we will soon see an icon of a truck scale.

The surgeon general, the NIH director, the CDC director and the FDA commissioner have been touring the nation with an anti-obesity message, but as appointees of the most deregulatory-minded administration in history, their message is “watch what you eat, not what we do.”

Of course one’s weight results largely from the many choices an individual makes in the course of the day. The orange juice or the soda? The bus or the bike? But those choices are powerfully influenced by the availability of options and incentives.

For example, the president’s own state of Texas just restricted sodas and snack foods in school vending machines, and the FDA has ordered food manufacturers to put information about trans fatty acids on their labels — indications that we may finally have reached a tipping point, so to speak, in the war against fat.

Largely successful against smoking, public health advocates are now on the verge of getting people, if not moving, then at least thinking about losing weight. Some of the same legal strategies from the tobacco wars may apply in this fight, but only to a point. A person can always stop smoking. Unless you are a monk or a cover girl, you cannot stop eating. You can go cold turkey from cigarettes, but if you’re overweight all you can do is eat cold turkey.

There are no easy answers. A New York Times columnist suggested an appropriately named “lump-sum tax” that would operate by taking $100 from every American and returning $250 to each one who shows up at a government office not overweight.

This is a regressive tax plan that falls of its own weight because nearly half of Americans don’t even have to pay taxes now, including 76 million children. Besides, much of the nation’s obesity is directly associated with poverty, thus denying equality in a system that would reward both the healthy and the wealthy.

This idea by business columnist Daniel Altman proposes that “anyone who wanted to could go to an existing government office for a simple series of measurements.” Has this man ever tried to get a passport, or a driver’s license?

The government can’t collect taxes from the fattest cats in corporate America, and it can’t find weapons of mass destruction in Iraq, so how could it even begin the destruction of mass here at home? What government can do, and has not, is direct research money to not only the biology of obesity but also to the psychology of it. After all, if you give a man an Oreo, you feed him for a day. If you teach him how to eat broccoli you keep him fit for a lifetime.


 

 
 
 

Essays on Good Behavior
2008

Decontructing the Kennedy Coverage - June 2008
Stuck Reading the Small Print - May 2008
Let Them Eat Cupcakes? - April 2008
My 81-Year Old Mom: Drug Safety Expert? - March 2008
A Paradox of Progress - February 2008
“Trust but Verify.” Verify? - January 2008
2007

Better Computer Use Could Enhance Health - December 2007
Expand Care to Treat Broad Patient Needs - November 2007
Science Message Muddled, Public Befuddled - October 2007
Health Reform May Require Outside Instigators - September 2007
Research in the Medical Marketplace - August 2007
No Free Lunch for Health Care Reform - July. 2007
So Many Choices, So Little Information! - June 2007
Improving Health, Climate Similarly Daunting Challenges - May 2007
Lessons and Cautions - April 2007
The Price of Patient Passivity - March 2007
Lipstick-On-A-Pig Health Reform- February 2007
Power,Politics and Performance - January 2007
2006

Quantifying People Particles- Dec. 2006
Great Expectations - Nov. 2006
November Solutions - Oct. 2006
Consequences of Terror Fatigue - Sept. 2006
Carrots and Two-by-Fours- August 2006
The Simple Life - July 2006
Visions of Riskless Solutions - June 2006
The Cure Is First, Then the Disease - May 2006
Give Me Ambiguity, or Something Else - April 2006
A New Vision of Aging - March 2006
Pedestrian Solution to Health Care - Feb. 2006
Daunting in the Dark - Jan. 2006
2005

Reframing the Suboptimal - Dec. 2005
Coming Home to Roost - Nov. 2005
No Killer Apps in Health Information - Oct. 2005
Homeland Security and Public Health - Sep. 2005
They Only Play One on TV - Aug. 2005
Suzy Spotless Takes on Obesity - July 2005
Obligations of Science and Society - June 2005
Caveat Viewer - May 2005
Putting Yourself First - April 2005
Risking the Social Contract - March 2005
Intelligence Quest - Feb. 2005
Political Science - Jan. 2005
2004

Renewing Old Values - Dec. 2004
Home Depot Health Care - Nov. 2004
Radicchio and Responsibility - Oct. 2004
What We Know and When We Know It - Sept. 2004
Evidence-Based Medicare: A Start- Aug. 2004
Leave No Scientist Behind - July 2004
FDA Gives Plan B an F - June 2004
Is Our People Healthy - May 2004
A Full Partnerhsip for the Future - April 2004
Demography Is Destiny - March 2004
Feeling Safe or Being Safe? - Feb. 2004
Prevention Deficit Disorder - Jan. 2004
2003

New Roles, New Spirits - Dec. 2003
La Dolce Vita - Nov. 2003
Pointing Fingers in the Dark - Oct. 2003
Keeping Fit for a Lifetime - Sept. 2003
You Get What They Pay For - Aug 2003
Good At-Bats - July 2003
Undermining Science - June 2003
SARS and the Free Market - May 2003
A Bold Commitment - April 2003
Odds and Ends - Mar. 2003
Neglected Questions - Feb. 2003
Ship Happens - Jan. 2003
2002

Inconvenient Information - Dec. 2002
Capturing the Value of Health Research - Nov. 2002
Whose Science is it, anway? - Oct. 2002
Grief: Our most prevalent condition - Oct. 2002
A Tale of Two Cities - Sept. 2002
The Opportunity of Cost of Time - Aug. 2002
Balancing the Research Portfolio - Jul. 2002
Point, Click, Heal - Jun. 2002
From Lab to Living Room - May 2002

The Zigzag Path to Truth - Apr. 2002

If it Weren't for the honor - Mar. 2002
No Magic Arrow - Feb. 2002
Media and Messages - Jan. 2002
2001

Persistant Prompting - Dec. 2001
The Winds of Spore - Nov. 2001
Eating Your Heart Out - Sept. 2001
A New Way to Purchase Health - Aug. 2001
These essays appeared in the Center's
newsletter and may be quoted with attribution.

All Essays written by:
Jessie C. Gruman, Ph.D.
President
Center for the Advancement of Health