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The True Weight of Healthcare Costs

Posted: 03/22/11 12:12 PM ET

Besides the voluminous amount of references to Ronald Reagan, the only topic that unites the GOP more is their abhorrence for First Lady Michelle Obama's nutrition program "Let's Move" and her vegetable garden. Former Massachusetts Governor Mitt Romney recently derided the White House for making Americans eat "organic cake," while Congresswoman Michelle Bachmann cited anti-obesity efforts as the first step towards "a nanny state." However, the "fiscally conservative" Republican Party fails to realize that efforts to fight obesity not only lead to a healthier society, but to stronger national and state budgets.

There is no group that articulates the dangers of reigning in deficit and specifically healthcare spending like the Grand Old Party. Despite ignoring these very same concerns when the Bush Administration passed Medicare Part D, Republicans have voiced their outright opposition to Obamacare as "fiscal insanity." Yet, if the GOP were truly serious on combating healthcare costs, they would be leading the charge in the anti-obesity campaign.

In the debate over lowering healthcare prices and premiums, no single item could lower costs more than improving the American diet. By 2018, an obese patient will pay an average of $8,315 in medical bills a year, while a fit patient will pay an average of $5,855 over the same period. This $2,440 annual difference in expenses can hardly be considered pocket change. With the United Health Foundation's projection of a 43% obesity rate in the next decade, the United States will soon be allotting $344 billion in obesity-related medical expenses. This amount has already doubled what it was a decade ago.

Chairman of the Department of Health Policy and Management at Emory University, Kenneth Thrope contends, "Obesity is going to be a leading driver in rising health-care costs." Great increases in obesity-related cases of diabetes, hypertension, gallstones, arthritis, and heart disease have proven to be symbolic for this health and financial epidemic. As Reed Tuckson of the United Health Foundation surmises, "There is a tsunami of chronic preventable disease about to be unleashed into our medical-care system which is increasingly unaffordable."

As the federal deficit continues to increase with the American waistline, so do state budgets. The average state spends $2.27 billion annually in obesity-related expenses from skyrocketing Medicare and Medicaid costs. One can only expect these costs to rapidly increase in the near future. By the end of the decade, Colorado will be the only state with an obesity rate below 30%. States such as Oklahoma, Mississippi, Maryland, Kentucky, Ohio, and South Dakota could boast a rate higher than 50%. Cities across the Union are also suffering a similar challenge with obesity. America's ten largest cities on average suffer $50 million in direct costs from obesity-related diseases per 100,000 residents.

Unfortunately, the "weight" of these costs is being unevenly distributed to those on the lower end of the socioeconomic spectrum. In Utah, 25% of the population earning less than $25,000 are obese. While of those making over $75,000, only 10% are found to be overweight. Consequently, those who are least capable of affording the increase in medical expenses are the most likely to be paying for them. After examining these expenses on national, state, and city level medical costs, Republicans should be standing in line to help build the vegetable garden with Michelle Obama.

In identifying solutions to this human and financial problem, one cannot help but ironically be reminded of the old Reagan adage, "the truth is, there are simple answers, they just are not easy ones." The American Heart Association correctly identifies the two core inhibitors of a healthy American society. The first is that of food consumption. Americans eat too much, while still unfortunately not acquiring enough nutrition. The American diet needs to decrease in the former and improve upon the latter. As a society that has increasingly gravitated towards eating out at usually more unhealthy restaurants than partaking in healthier home cooked meals, this problem has proven to be more systematic. However, there is no factor more important in correcting these habits than education. The United States must significantly introduce and improve upon its educational curriculum in teaching students and parents on the value of healthy choice.

As a society we do not necessarily make and promote easy healthy eating habits. One of the main problems related to this matter is the sheer cost of healthy foods. University of Washington Professor Dr. Adam Drewnowski illustrated this problem in identifying the buying power of a hypothetical dollar at a supermarket in terms of purchasing healthy and unhealthy foods. The study soon found that this hypothetical dollar could purchase over 1,000 calories of cookies or potato chips, but just 250 calories of carrots. Dr. Drewnowski also discerned that this same dollar amount could purchase 900 calories of soda, but just 170 calories of orange juice.

Finally, in an era where we continue to push our students to complete new and an ever-expanding amount of standardized tests, time must continue to be allocated for physical activity and fitness. In the long run, improving fitness scores will prove equally as important as improving math and science scores. With the average youth spending around 45 hours of week on some form of media entertainment, schools must concentrate ever more on physical fitness in the days of 21st century technology.

Whether we are discussing national security or deficit spending, today's political emphasis always seems to be placed on protecting our children and the next generation from these impending threats. However, obesity has and will continue to produce more deaths in this country than any perceived Osama Bin-Laden terrorist plot. Fiscally, obesity has and will continue to enlarge government and healthcare spending to an unimaginable height. In light of these circumstances, Republicans should change Mrs. Obama's slogan of "Let's Move" to "Let's Move Now."

 
Besides the voluminous amount of references to Ronald Reagan, the only topic that unites the GOP more is their abhorrence for First Lady Michelle Obama's nutrition program "Let's Move" and her vegetab...
Besides the voluminous amount of references to Ronald Reagan, the only topic that unites the GOP more is their abhorrence for First Lady Michelle Obama's nutrition program "Let's Move" and her vegetab...
 
 
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Linda from Deerfield
Paying attention
12:26 PM on 03/23/2011
Young man, your logic and common sense are lost on a large swath of the population. If you should become politically active and gain some position of power, the thanks you will get for your thoughtful and informed service will be bitter accusations of trying to dictate and control, even while the accusers themselves strive for a near police state with peculiar loopholes for their own many moral transgressions. Their defiance will pain you, possibly to the point of demoralization, as is their intent.

Like a French revolution in reverse, those others will fiercely demand that you deny their children the healthy upbringing, a safe environment, access to truth, and even the chance of a good job. I therefore implore you to apply the idealism and energy of your youth to not just one small piece of this fight for the nation's future but to the whole of it. Find what it is that makes some of us so self destructive and to wish it upon all of our children. Find it and find the means of stopping it before it seems to you like it does to some of us that it may already too late. Thank you.
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AZreb
equal-opportunity Independent heathen
10:40 AM on 03/23/2011
Can't remember where it was, but read an article recently that stated tens of thousands of under-20 year olds are being diagnosed with Type II diabetes, much due to obesity.

The program promoting healthy diet is fine - but since food stamps for needy families have been cut, it becomes a choice between filling foods that are cheaper so the stamps will last a full month or healthy choices of fresh fruits and vegetables, lean meats that are much more expensive. Low-income children can get free breakfasts and lunches at school - but what about the evening meal, the week-ends, the school holidays?

Due to higher fuel costs, groceries are becoming more expensive. Plus, many schools have cut the classes in physical education and then there is the lure of the video games, the computers, Facebook, and other goodies that keep a kid glued to a chair once he/she gets home.
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10:19 AM on 03/23/2011
Very Well Written and Excellent Argument. I always enjoy these types of articles, Mr. Bendetson you have a great future in front of you as a political writer or elected official.
04:22 PM on 03/22/2011
"The United States must significantly introduce and improve upon its educational curriculum in teaching students and parents on the value of healthy choice."

Does anyone think that potato chips are as healthy as carrots? Really? I think we have the education, just not the will. I suppose if the state is going to cover whatever people do to their own health it had better step in on what they can eat as well.
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hypnotoad72
Real democracy = living wages.
08:53 PM on 03/22/2011
Education, will, and time

Time is what rarely gets discussed.  (if a person had to work two jobs each day, or job and college, they are not going to have the same amount of time as somebody with the increasingly-rare "full time job with no other responsibilities".) 

People screwed up by chiropractors, car accidents, and the like can end up with life-altering issues as well. 

Not to mention that excessive levels of stress increases cortisol production, which also leads to more abdominal fat.

The whole of fitness is always centered around diet and glib generalizations about exercise.  Rarely is every facet of our society discussed.  But why bother to look at how our society is structured and what its demands are?  One-liner generalizations do a lot more to feel good and to neatly bury the issue while making some convenient targets of blame.  A half-tangent, I remember when the news commented on the increase of "road rage", but like with most issues it's easier to sweep it under the carpet and make a few generalizations (and even scapegoats as a convenient bonus, too.)
traceymarie
Independent to Dem in 2007
04:10 PM on 03/22/2011
Brown rice,whole wheat pasta, potatoes cooked without butter and salt, add herbs,onions garlic whatever you like is cheap and easy to make. Chicken bought whole, cooked at home is easy and inexpensive. You do not have to eat organic, just buy fresh even frozen vegatables. How about beans, very cheap and again easy to make....no excuses for costs, there are plenty of affordable options, just not enough people are willing to take the time to cook instead of buying pre-made junk.
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Cynthia Dudley
04:59 PM on 03/22/2011
Except that you have to know how to find and prepare it and such skills are no longer taught due to cut backs and an emphasis on job/college-related skill sets. You have to be able to find it within a reasonable distance from your home or work and many neighborhoods are no longer anchored by a grocery store and 5 and dime. There is a reason that the poorest are getting fatter- the calories available in transport distance of their homes are manufactured, nutrition less fillers. The car culture leaves you behind when you cannot afford a car and the mom and pop stores are run out of town by the megamarts.
traceymarie
Independent to Dem in 2007
07:08 PM on 03/22/2011
somewhat valid points. Any c-store has rice, and it is not hard to read a box for directions. Laziness is a big part, how many times do you see heavy families eating junk food and sweets in a mall, park, car, anywhere. Yes it may be harder for some but with effort on the part of the parent(s) it can be done.
10:22 AM on 05/03/2011
Everything in your first sentence is carb-heavy, thereby likely to increase the Type 2 diabetes incidence. Chicken, veggies, yes! Beans, again, carb-heavy, so must consider dependence on them as a staple.

And, by the way, if you eat potatoes, don't skip the butter. Buy real full fat butter & it will slow the body's ability to break down those potatoes into glucose, thereby blunting the spikes insulin resistant folks will have from potatoes.
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Ranveig Elvebakk
Innovator, author and lecturer on weight and nutri
04:06 PM on 03/22/2011
Nothing will change as long as the people who are trying to change things don't understand what they are trying to change and can't do it themselves for starters. We are not trying to change "them" but "us" and it starts with me. That is called role modeling, and is largely unknown to leaders. Perhaps it accounts for some of the pickle soup we are in on most fronts--
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frank day
Republican = FAIL
03:23 PM on 03/22/2011
Very poorly written article.

I understand you are a student, perhaps run your work past a faculty member next.

Wordy, poor grammar and syntax, lacks organization. Most of all, lacks documentation for the assertions made.
10:25 PM on 03/22/2011
frank day--your comments regarding the article and the author are completely incorrect. Ironically, you accuse the author of not providing documentation (when there are concise and appropriate statistics throughout the article that back up the assertions), but you have criticized the piece without providing any examples of what you are critiquing. just to name a few pieces of evidence: average cost of medical bills for obese vs. fit patient, obesity percentage rates per state, direct costs of obesity effects on largest cities, etc.
Just because Mr. Bendetson is a student does not make him a poor writer. I think the article above proves that he is capable of making an original argument on food costs, analyzing the economic effects, and turning those effects into policy suggestions and partisan conclusions.
Next time, instead of being trite and ripping a talented kid, you should actually read the article and provide to the discussion, rather than comment on the banner underneath the author's name.
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LawrenceRoth
Real Liberal. Real American.
02:50 PM on 03/22/2011
Republicans argued against Affordable Health Care in 2009-2010 claiming that if Americans would eat more healthy and lose weight that health care costs would decrease.

Now, that Michelle Obama proposes an anti-obesity campaign, Republicans criticize the idea.
03:42 PM on 03/22/2011
To be accurate, conservatives argued against an unprecedented Federal power grab. The Constitution provides no enumerated powers for them to regulate or mandate anything having to do with health care. They certainly do not have the right to force us to purchase a consumer product as we are currently confirming through legislative action. I agree that the First Lady's initiative is being attacked on a partisan basis. Ultimately it comes down to parents helping and coercing their children into making healthy eating choices.
traceymarie
Independent to Dem in 2007
04:05 PM on 03/22/2011
Medicair and S.S. both are taken from your pay check as a tax, so what were you saying?
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hypnotoad72
Real democracy = living wages.
08:59 PM on 03/22/2011
"Life, liberty, and the pursuit of happiness".

Since that horrible word called "life" was shoehorned in, one could easily infer such mandates or regulations. 

Besides, if conservatives talk about power grabs and staying out of peoples' lives, why do they discuss abortion, people being gay, and other issues, and wanting to impose their way on everyone else?  Shouldn't it work both ways?  Abortion obviously has to do with "life", but since you're saying there should be no regulations or mandates for quality of life, then it should be the same for life.  You're the "conservative", so you tell us what's allowed to have a double standard and what's not.

Having said all that, assuming the parents have the money to buy the proper food, and time to cook it, they have a part to play in getting children to eat right as well.  But in this new-normal economy where everyone is too busy getting more education, multiple part-time wastrel jobs, and so on, McSlop is here to stay.  I suppose the speculators will say we should all buy some McStock...
02:37 PM on 03/22/2011
Sorry last part. Whoever invests into those cheap ingredients are making even more money (rise in food prices), making even more of a reason for people to be forced to continue to buy them for cheap. Markets need to support their local farmers and organic foods…if you look, you can find organic foods on sale near the price of its cheap non-sufficient-counterpart. I used to eat bad processed boxed foods, but if you make food at home and shop smartly, its will cost you not much more to make the switch. I do live in the northwest and we have taken a step in this direction, but it can be done anywhere just ask your local store to make the effort.
02:37 PM on 03/22/2011
I just hope more people can see that this lifestyle of accepting these bad cheap foods which brings about obesity and other health problems is not good, health wise and fiscally wise. Too many people have money invested into these companies that are essentially ruining human health and real food production (ie: organic foods, non-hormone antibiotic pumped injected animals, etc). People need to start to relize that if they support their local farmers, they can help to drive down local prices. By giving the farmers the money they need to grow their food and not factory food producers that profit the most, farmers will most likely reinvest that money and keep prices lower, they don’t have to supply returns for anyone who wants to pump in capital which turns it into a commodity to be controlled by money, not letting the person doing the labor control the prices. So the invisible hand that controls others and markets…can be controlled. These bad foods provide the sensations...fat, sugar, and salt....cheap ingredients that draw the mind to want more, remember that from Supersize Me movie/doc which is very true point. It is hard to avoid these 3 cheap ingredients these days (especially sugar which doesn’t just come from cane sugar, High fructose corn syrup now FDA relabeled to corn sugar is a way that we can just pump more of genetically modified corns into peoples diets.
02:35 PM on 03/22/2011
Great article. The thing people need to consider for organic and healthy foods is that the more these foods are produced and supported, and bought...the better the access and costs. Organic farmers are more honest people than corporate titans that are all for profit. I would hope that if farmers could do it their way, many would focus on living a good life (nice home, providing for their families) and ultimately providing life to others in the form of their crops. It shouldn’t be about manufactured farming and huge profits, cause there are better ways. We have high costs (low monetary costs) of processed and foods which are far from natural in regards to their evolution. We allow companies to genetically alter our food supplies creating more problems on our foods such as the high costs in current healthcare system, mass produced nutritional lacking bad foods, non-human labor involved farming and huge profits for companies that promote all this. We now also have insecticide/pesticide/fertilizer laced lands, rivers, and dead zones in oceans and domestic US policies that favor those who spend the most on pushing their interests.
Javalation
Laughing in a Daydream
02:03 PM on 03/22/2011
Republicans represent the interests of big business, so of course they oppose anyone advising consumers about healthy eating, because the keystone to that advice is to eat less processed foods and more locally grown fruits & vegetables. If people spend more time thinking about what they eat, they are also more likely to plan meals instead of waiting till they are hungry and rushing to a fast food outlet. Yep, big business profits are damaged by thoughtful consumers.
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Artanis71
Colbert Super PAC unleashed in 2012
01:45 PM on 03/22/2011
Well written article, as Enjay posted a piece of the issue is the cost of food. Just looking at the basic, with $5 you can get $1 many unhealthy fast food items compared to healthy.

That is one issue but, in general it is a great way to attack our health issues from multiple angles putting a short and long term impact with real numbers.
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swlewis57
Working class, and proud of it.
01:43 PM on 03/22/2011
How ironic. There was a pillsbury ad running right below your column headline.
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Enjay 1
Enjay in E MT
12:40 PM on 03/22/2011
Mr Bendetson, you bring up several very valid points which should be a concern to all who are interested in lowering Health Care costs, not just Medicaid & Medicare.

Healthy food is expensive - and for those attempting to survive on the Food Stamp Program, it is considerably more difficult. Higher fat ground beef and less lean meats, high sodium quick meals (canned or frozen), cheaper oleo, and cheese. Yet these are the affordable foods.
03:11 PM on 03/22/2011
The point of food stamps is to get people the calories that they need, not the lean calories to have six-pack abs. Plain rice in fifty-pound bags is extremely cheap, as is store-brand pasta. People not only don't make good choices but don't want to have to make a lot of effort in preparing food. Box dinners are the norm for two-earner households where the kids are into activities in the evening- when else will food be prepared or consumed. We usually have an hour or less to get it all done.