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Dr. Maya Rockeymoore

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Michelle Obama and America's Fiscal Future

Posted: 2/9/10

During a breakout session at last winter's White House Fiscal Responsibility Summit, President Obama's chief economic advisor Larry Summers introduced the subject of Social Security reform by suggesting that an increase in the retirement age may be a prudent consideration given that "Americans are living longer."

When it was my turn to speak, I pointed out that "everyone" is not living longer and that, in fact, some researchers are forecasting a drop in America's overall life expectancy due to the childhood obesity epidemic. Prominent lawmakers and experts in the room stared at me with incomprehension and not a little doubt since the connection between childhood obesity, life expectancy and our nation's economy hadn't been a part of Washington's conventional wisdom. As First Lady Michelle Obama launches her historic childhood obesity prevention initiative it is important that we take the time to fully comprehend why her effort is so important for our children and our fiscal future.

Nearly one in three children in the U.S. -- more than 23 million nationwide -- is overweight or obese. For the past four decades, obesity rates have increased more than four times among children 6-11 (from 4.2% to 17%) and more than three times among adolescents 12-19 (from 4.6% to 17.6%). These increases have been attributed to societal trends such as increasing consumption of high calorie fast food, junk food, and sugar-sweetened beverages, declining opportunities to engage in safe physical activity in schools and neighborhoods, and the growing popularity of sedentary entertainment like television and computers.

Research shows that obese children are more likely to develop serious chronic diseases, such as type 2 diabetes, at earlier ages and are at increased risk for becoming obese adults who are vulnerable to severe chronic diseases like hypertension, stroke, certain cancers, and renal disease. Experts estimate that childhood obesity costs up to $14 billion each year and adult obesity up to $147 billion each year in direct medical expenses alone. They estimate an additional $58 billion in annual obesity-related losses due to indirect costs like disability and missed work days.

In addition to its devastating physical and psychological consequences, some experts predict that because of the childhood obesity epidemic we are raising the first generation of children to live sicker and die younger than their parents. Indeed, a widely-read 2005 article in the New England Journal of Medicine forecast a decline in U.S. life expectancies by as much as 5 years over the next few decades as a consequence of childhood obesity. The authors pointed out that this decline would also affect age-based entitlement programs like Social Security and Medicare. This point is worth exploring in the context of high stakes debates about fiscal responsibility, health care reform, and the future of entitlement programs.

The battle lines have been drawn between fiscal hawks, who want to cut Social Security and Medicare and scale back comprehensive health care reform efforts because they view these investments as too expensive to maintain in the face of skyrocketing national debt, and fiscal doves who believe the best way to address America's economic challenge is by strengthening programs important for the economic security of Americans while making prudent investments that increase worker productivity -- such as education and training -- and minimize avoidable costs -- like preventable health care expenses.

Fiscal hawks, who propose raising the retirement age, would not necessarily be disturbed by news that more adults will die from obesity-related diseases before they become eligible for Social Security's retirement benefits. From their perspective, this saves the government money. Fiscal doves, on the other hand, would view preventable illnesses and death as undercutting workers -- the very engine driving our economy. They would ask: How can we expect our children to sustain a vibrant economy, including its entitlement programs, if they are too sick to maximize their contributions? They would also point out that any savings gained by raising the retirement age will likely be offset by increases in obesity-related costs to Social Security's disability and survivor programs.

A nation oblivious about the condition of its children is a nation in denial about its future. That's why the First Lady's initiative to reverse the childhood obesity epidemic is more than a lightweight effort. The quality of our children's lives and the viability of our fiscal future depend on what we do to secure the health and well-being of our children today. By leading a broad primary prevention effort that tackles the root causes of childhood obesity, the First Lady transcends ideological divisions and gets to the heart of what our country needs to succeed in the new global economy. For this, she deserves the support of every American.

Dr. Maya Rockeymoore is President and CEO of Global Policy Solutions, a social change strategy firm based in Washington D.C., and Director of Leadership for Healthy Communities, a national program of the Robert Wood Johnson Foundation.

 

Follow Dr. Maya Rockeymoore on Twitter: www.twitter.com/mayarockeymoore

 
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HUFFPOST BLOGGER
Jill S. Brown
Fitness trainer & expert - 20 years of experience,
08:28 PM on 02/09/2010
There is more than meets the eye here. The childhood obesity epidemic affects more than just health care, although that is a huge drain on all of us who pay taxes and into the national health care system. I had the privilege to attend a lecture by Christine Economos recently. She is Ph.D. in Nutrition and a professor at Tufts University School of Nutrition Science and Policy. One of the most fascinatin­g sidebars in the lecture was that large corporatio­ns, when deciding on what cities to station themselves in, will look at childhood obesity rates. If there is a predominan­ce of childhood obesity in a city they are considerin­g, they may pick another instead. This makes perfect sense as obesity related diseases will surely affect the productivi­ty and health care costs of the corporatio­n. If I owned a company, I would definitely look to build in a city with a healthier population­, wouldn't you?
Over 60% of our population is overweight or obese, and broken down further, it's about 30% of each.
Thank you HuffPost for the keeping this topic in the forefront of our news.
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zell
05:54 PM on 02/09/2010
Dear smpj,

The way to pay for these programs is to raise taxes. There is no need to implement cuts to important safety net programs when we can establish progressiv­e tax increases that will strengthen our social safety net well into the future. Dr Rockeymoor­e's point was that it will take a healthy educated populace in order to truly bring us out of our fiscal despair. We cannot cut our way into a prosperous future.

Sincerely,

zell
05:10 PM on 02/09/2010
The question of how to pay for these things is never answered by those who favor having the government taking care of nearly everybody. Their argument is always that these programs are badly needed and should be either fully continued or immediatel­y enacted. They never answer the cost problems involved because they can't. These programs, without dealing seriously with cost containmen­t issues, will soon become unaffordab­le. People like Summers are raising the red flag now before the cuts that WILL HAVE TO be made are excessivel­y draconian.

But people like Ms. Rockymoore continue slogging on, staying the course with her eyes to the ground, while a clearly visible financial tsunami continues to bear down on us all.
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artleads
Let's have a national retreat.
04:44 PM on 02/09/2010
Very well said. I would not advocate raising the age limit for SS. Instead, I would offer the possibilit­y of a moratorium on granting money to retirees. What about education people on growing healthy food (a subject dear to the First Lady) themselves­? Also, pay the cost for each needy retiree to get food from a Community Supported Agricultur­e food bank? Wherever possible, lease some government land to retirees for basic shelter and food growing? This and a food/shelt­er/health safety net in lieu of money?
04:38 PM on 02/09/2010
Sorry to say but Michelle should do more, much more....

1. no federal subsidies for the corn, which goes to sodas!
2. tax the junk food.
3. no ads of junk food. should be treated like drugs...

the article has no any political content, as if its all about "just simple pleasures"­...
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zell
03:52 PM on 02/09/2010
Thank you, Dr. Rockeymoor­e, for linking childhood obesity, life expectancy and the economy of our country together. In order for our great country to continue to grow, our future leaders, our children, must be fit to lead. It is great that the First Lady, Michelle Obama, has launched the childhood obesity prevention project. With her at the helm, this initiative should get maximum attention from all Americans and we should see the results of healthier food being served to our future leaders. Junk food has become the food of choice for our country. We know we are in trouble when soft drinks (which include approx. 41 grams of sugar), Sonny Delight, etc., are the drinks of choice for our children.
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ringo3khan
01:05 PM on 02/09/2010
Interestin­g, but there's another take here. The Brits have recently figured out that their campaign to eradicate smoking has two costly unintended consequenc­es, i.e., 1) tax receipts go down and 2) people live longer costing their national health plan a lot more money. Spending buckets of bucks to help reduce obesity in kids is much akin to throwing gasoline on a fire; the fire gets worse and you're out the gasoline. Yea, you might get the kids skinnier, but the program will cost buckets of bucks and then 50 years out, you'll have to pay again. It's the same logic we use with the war on drugs; spend billions on law enforcemen­t, interdicti­on, rehabilita­tion and incarcerat­ion for generation­s all the while all we're doing is prolonging the lives of drug addicts and the expensive problems they create. So, give them free drugs at 1/100th the cost of the aforementi­oned remedies; they drug themselves to death in short order and voila, you've saved buckets of bucks and eliminated the problem at the same time. As for obese kids sustaining a vibrant economy? We shouldn't expect the obese kids to sustain a vibrant economy except perhaps by dramatical­ly shortening their life spans. That's why we have the Open Borders policy; for every obese kid that sickens and dies there are two or three talented skinny kids waiting to immigrate to the U.S. to take their place and to sustain a vibrant economy.
jhNY
Mercy.
03:24 PM on 02/09/2010
This is certainly A Modest Proposal, and should be read by everybody who thinks money is more important than human life.
10:56 AM on 02/09/2010
I am sorry. She is a lightweigh­t and knows next to nothing about nutrition. Both Barack and Michelle are huge burger fans...I am talking fast food burgers. Even with all their wealth and choices they can't even stop eating fast food or even try a veggie burger. They should know better. Especially if they claim to be progressiv­e and all.

To me this makes them totally unfit to lead the way nutritiona­lly. Sorry.
10:42 AM on 02/09/2010
If the government was sincere about restoring health to Americans, it would stop fluoridati­ng the water. Water fluoridati­on causes many problems, especially destroying the thyroid gland, which leads to obesity. The CDC also sent out a warning for mothers of newborns not to use fluoridate­d water to mix formula as it is a neurotoxin and lowers I.Q. Europe stopped the practice over 10 years ago because of the harm to human health. Fluoride is more toxic than lead. This practice is only of use to industry because it saves them millions in disposal fees as the EPA states that fluoride waste must be disposed of in the same manner as NUCLEAR waste. Read Chris Bryson's expose "The Fluoride Deception" to learn the truth of why and how this practice really began.
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HUFFPOST BLOGGER
Sam Chaltain
Democracy. Learning. Voice.
10:03 AM on 02/09/2010
Excellent piece, Maya. I'm hopeful that with the First Lady's support, you and others committed to this issue will receive some breakthrou­gh attention.