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Obesity Goes Where the Money Goes

By On · Add Comment · In Asia, chronic diseases, economics, fast-food, India, junk food, obesity epidemic, prosperity, wealth

I wanted to address something I touched on last post–obesity as a condition of prosperity.  The obesity epidemic that we are witnessing today in western society is only possible in an environment of abundance.  I am not talking individual wealth here, but prosperity of nations; and American obesity statistics, and pretty much that of the rest of the world, support this claim.  Obesity is rampant in North America and Europe, with Japan and South Korea having the highest rates in the east.

But wait, what about the rising powers of China and India?  They are experiencing rapid economic growth, but have they an obesity epidemic?  According to a recent report, extreme fatness is making its way to India.  As India’s economy grows, the middle class increases as well, and western fast food companies are smelling opportunity like they haven’t since, well, 1950s America.

And which demographic do you suppose the fast-food industry is targeting?…You got it–youngsters.  Let’s go to the Hop… Reports disclose that one in three children in private schools in New Delhi are obese compared with one in ten in government schools.


“Obesity is emerging in India which has serious implications for metabolic health in the future,” says researcher Seema Gulati. “Schoolchildren are attracted to the way it (junk food) is advertised,” she said. “They feel it is something that is high status. They want to try it out.”

Exactly…convenience, good taste, high status, western, bourgeois, you know…you’ve been there America, but now look atcha: 30% obesity in most states.  That’s not overweight…that’s obese…and it’s crazy.  And I’m certain the trend will continue in the East, as Asian countries get more powerful.

Brazil is there already, and India is on its way…China anyone?  We’ll see.  A major 2010 study called “The Rise of Asia’s Middle Class” by the Asian Development Bank warned that in the next 20-30 years Asia will be faced with “an increasing number of chronic diseases on a scale previously unseen”.

Obesity is a natural consequence of prosperity.  As money flows, so does the drive for convenience, and nothing more convenient than ready-made food for the go.  Wealth comes from work–lots of it–and this means limited time.  We Americans know that lifestyle all too well–the burning candles, chasing sensory stimuli and seeking greater and greater conveniences–and how it can lead to greater excesses.  Ultimately these excesses cause problems, like rising chronic diseases and epidemics of addiction: food, drugs, sex, and so on.

Hey I’m not knocking any of it…just pointing out the truths of the bigger picture.  We can waste time looking for new and novel causes of obesity–heck, lots of money to be made there–but if we really wish to make a dent in the obesity numbers, then understanding how the condition arises and develops over time is a hell of a lot more useful than trying to create new fantasies about genes and hormones, especially as we see it unfolding in other cultures mirroring our own.  Let’s put two and two together, find real solutions to help those that truly want them, and then maybe we might even pave the way for others to understand and resolve their own issues.  But it won’t happen anytime soon if we continue to foolishly blame outside forces when the problem is completely man-made.

Wake Up and Smell the Mirror

By On · Add Comment · In Asia, doctors, drugs, health care reform, medical care, overprescribing, polypharmacy, symptom care

There’s a phenomenon happening in Asian medical care that mirrors our own practices, yet we seem too blind to see it. According to recent reports, doctors in Asian countries from Hong Kong to Indonesia are overprescribing drugs to patients that often don’t need them. And this overmedicating is driven by profits, experts say. You don’t say. Could that be the dirty little reflection staring “too expensive” American medical care back in the face?

“Polypharmacy (overmedication) is very popular [in Asia], it means they use a lot of medicines which are unnecessary, like giving you many types of antibiotics for a cold,” said William Chui, honorary associate professor at the Clinical Trials Center attached to the University of Hong Kong.

Well Dr. Chui, let me wake you up to a harsh reality: It’s not just profits that drive this practice–it’s a faulty paradigm. Health care based on primarily treating illness, while merely paying lip service to healthy behaviors, and shutting out these same practices from insurance reimbursements, maintains this polypharmacy madness. Think about it: Health insurers, which includes the federal government’s Medicare and Medicaid plans, only pay for symptomatic care. This perpetuates the myth that health comes from fighting illnesses.

No doubt, disease care is important; however, it is merely one aspect of human health. Denying all the rest–physical fitness, proper nutrition, regular bodywork, mental health services outside of psychiatry, and so forth–simply says, “It’s not necessary.” Do you think people get confused by this message?

The politicos talk a big game when it comes to health care reform. Wake up and smell the BS, America! Focusing on more of the same “health care”, just subsidized, is insane. Look at Asia if you can’t look at yourself. Put the finger back in its holster, American health care, or point the other four back at yourself; you wrote the book on medical over-consumption. But it’s a heck of a lot easier imagining you see Asia through a window, than recognizing it’s just a reflection in the mirror, now isn’t it?

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