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Rob Shepardson

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Does It Take a Village to Overcome Obesity?

Posted: 12/07/10 11:36 PM ET

Sarah Palin's shot at Let's Move!, First Lady Michelle Obama's anti-obesity campaign, during a recent talk radio appearance came off as another example of the Alaskan's instinct for the controversial. She's against discouraging kids from over-indulging in unhealthy foods and vegetating in front of the screen? What's up with that?

Palin's attack on government for encouraging kids to eat and live more healthily is not about whether junior should polish off another sack of fries. It is about whether Mrs. Obama, in Palin's words, "...cannot trust parents to make decisions for their own children." Palin tells the First Lady to "leave us alone, get off our back, and allow us as individuals to exercise our own God-given rights to make our own decisions...."

Palin is a governmental minimalist: government should allow everyone to make their own decisions about what to put in their bodies. If we choose self-destruction, well, that is our call. Thus Let's Move!, the White House's campaign to get parents, food companies, schools and communities to provide a healthier dietary and exercise environment for our kids, intrudes into family and individual decisions. (SS+K, the agency I co-founded, worked with the White House on the Let's Move! campaign). Palin also knocks the First Lady for deeming most of us "incapable" of deciding what is best for our children.

Government "intrusions" always come under severe scrutiny when budgets do not balance, and Mrs. Palin is hardly unique in her desire to limit government's role. Utah's next Senator, Mike Lee, argues that the Department of Education has no place within our constitutional system. The dean of elected libertarians, Congressman Ron Paul, would abolish the IRS along with the income taxes its collects. Palin attracts more attention with her comments, but her anti-government beliefs reflect a powerful populist trend. Her dismissal of "Let's Move!" raises interesting questions about future health policy in light of the Tea Party's ascent.

In the 1980s, many on the left dismissed Nancy Reagan's "Just Say No" anti-drug campaign, but who would criticize her efforts now? Would the liberals who found the campaign silly and shallow? What about libertarians who, like Mrs. Palin, think First Ladies have no place telling us free spirits what to swallow? Mrs. Reagan made 110 "Just Say No" public appearances in 1984, to raise awareness about the dangers of narcotics. By 1988, "Just Say No" clubs surpassed 12,000 and cocaine use among high-school seniors dropped by one-third. Despite the skepticism it evoked, "Just Say No" helped the cause.

Like obesity, smoking is a public health disaster, destroying lives while inflating health care costs. Was the Truth campaign that reduced smoking rates an intrusion or a godsend? It all depends on your view of the proper role of government in our personal decision making. Do the FDA and the EPA do more harm than good? That depends on what you fear more -- a loss of choice and freedom, or salmonella and toxic waste dumps.

We may not want the government telling us when we can chat on our cell phones, but laws prohibiting cell phone use while driving save lives. Distracted drivers killed 5,500 people and injured another 500,000 last year. Should government stop telling us what to do in our own cars -- on our own phones, for God's sake! -- or should states enforce safe driving laws against blabbering road killers?

The libertarian aversion to government intervening in our personal decisions carries a steep price because many Americans make lousy personal decisions that produce catastrophic social consequences. Yes, food companies that popularize dishes with 23 grams of fat are culpable, but what about parents who permit or even encourage their children to bulk up on fatty food? They too are responsible for this awful fact: over 30% of American kids are dangerously overweight and prime candidates for serious disease. The economic and national security consequences of Palin's vision are catastrophic: ERs overwhelmed by the reoccurring and expensive complications of diabetes, teenagers suffering from the cardiac problems of 60-year-olds, and young people unfit for military duty.

Libertarians often have the most potent slogans. No one wants government dictating our personal choices. But Mrs. Palin and others who object to the First Lady's campaign to encourage American families to adopt healthier lifestyles offer no strategy for a healthier America beyond "let them eat cake." What to eat is a personal decision, but overeating is a national crisis. That's why we should all support "Let's Move!"

 

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10:05 PM on 12/11/2010
This is the fallacy with the nanny state: "many Americans make lousy personal decisions " Unfortunately these Americans are in positions of power. they think they know better than the average American on what's the right way to live even if they don't follow it like obama and his nicotine habit. Even after examples of their incompetence grows larger every day. governments are made up of fallible people whose greatest failing is to think they know more than they do. But they don't have any idea of the consequences of their actions and they are in an ivory tower insulated by the very laws they make us live under.
04:45 PM on 12/08/2010
There are many valid points in this thread. And the issue is way over my head. So instead of thinking for myself and controlling my life I am going to let the wife of a community organizer make decisions for me like I always do. Oh and can somebody ask her how much this is going to cost? I might have to cut back on my christmas shopping if it is too much.
01:28 PM on 12/08/2010
"The libertarian aversion to government intervening in our personal decisions carries a steep price because many Americans make lousy personal decisions that produce catastrophic social consequences. Yes, food companies that popularize dishes with 23 grams of fat are culpable, but what about parents who permit or even encourage their children to bulk up on fatty food? They too are responsible "

Listen, I'm no fan of Palin, I tend to fall on the liberal side of left, and am a healthcare professional working in obesity, BUT most of the bad decisions that have been made about our national diet are decisions that were made by national health care agencies vis-a-vis the McGovern Commission and The Food Pyramid that set the stage for flooding the food market with cheap, low fat, concentrated carbohydrates and which created a boon for the corn industry. Don't kid yourself that it's otherwise. The biggest obesity problem is in the poorest neighborhoods, the ones where you can't find a food market but there's a McDonalds on every corner.
03:19 PM on 12/09/2010
Fanned and faved.
HUFFPOST COMMUNITY MODERATOR
dancingstu
Christian, liberal lawyer
01:23 PM on 12/08/2010
The Let's Move program is about educating parents and kids about nutritionand encouraging them to engage in healthy habits. There are no government mandates saying "YOU MUST FEED YOUR CHILD THIS!" A true libertarian would be in favor of the government helping people to make INFORMED decisions. Sarah Palin's opposition to Let's Move is not based on a libertarian philosophy; it is based on her hatred for all things educational.
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E4B32787
US Gov: The best that money can buy.
02:16 PM on 12/11/2010
Exactly. There is a distinction between advocating something and mandating it. It seems clear to me that if Americans curb obesity and stop smoking, our collective health bill would be significantly less. That's why it seems rather stupid (to me) to not support "Let's move".
HUFFPOST SUPER USER
quindy
quindy
01:02 PM on 12/08/2010
Why write about what Palin thinks about Michelle Obama's efforts? Palin is irrelevant. Much more relevant is the problem of obesity and what to do about it. Just leave Palin out of it. She has nothing to contribute. She also has overweight daughters so we don't need her opinion on anything.
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HUFFPOST SUPER USER
scrogginsfarms
proud daughter of the american revolution
01:00 PM on 12/08/2010
i believe she is against the federal government, interjecting itself into our food choices, among other things.
12:49 PM on 12/08/2010
What happens when you let the village take our diets and health care options?

Soylent Green
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massjim
Dem? Repub? Is there a difference?
12:15 PM on 12/08/2010
Education is fine, product labeling is fine, encouraging exercise is good ... and the First Lady is welcome to have a vegetable garden, but ordering foods off the shelve is over the line.
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HUFFPOST SUPER USER
leoluminary
01:13 PM on 12/08/2010
Who ordered foods off the shelf?
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massjim
Dem? Repub? Is there a difference?
02:50 PM on 12/08/2010
The First Lady is here right now, throwing food out of my fridge. Michelle, cut that out!!!
HUFFPOST COMMUNITY MODERATOR
dancingstu
Christian, liberal lawyer
01:13 PM on 12/08/2010
"...but ordering foods off the shelve is over the line." That's probably why that ISN'T part of the Let's Move campaign. Glad to know that you're on board with the First Lady and opposed to the nonsense spouted by Sarah Palin and her ilk.
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HUFFPOST SUPER USER
blackraisin
Life, Liberty, Property.
12:15 PM on 12/08/2010
"The libertarian aversion to government intervening in our personal decisions carries a steep price because many Americans make lousy personal decisions that produce catastrophic social consequences."

Ofcourse this statement assumes that it is the government that determines what is a good personal decision and what is a bad personal decision. If the government is composed of individuals, and individuals admittedly make bad decisions, whose to say that what the government determines is a good decision. I sympathize with Mrs. Obama whose intent is to promote what the general consensus believes to be "good" health, however given the fact that no man is infallible, and government is a creation of man, I don't think Palin's criticism is entirely unfair.
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George Hanshaw
There are none so blind as those who will not see.
12:08 PM on 12/08/2010
"The libertarian aversion to government intervening in our personal decisions carries a steep price because many Americans make lousy personal decisions that produce catastrophic social consequences."

Yeah. That's the derivation of the term 'libertarian.' The philosophy is that people should have liberty - the freedom to make their own decisions - even their own mistakes.

The opposing idea is 'totalitarian.' It means that because we are all interconnected - that all of us are affected by things that affect any of us, we should all be - dare I say it - mandated to do what's right.
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George Hanshaw
There are none so blind as those who will not see.
12:09 PM on 12/08/2010
The derivation of 'mandate' is also interesting. It comes from the Latin mandatus, meaning ordered or commanded. Of course, for some one to order or command you requires that you be subservient to him or her and that's just sort of the opposite of Libertarian too.

It has been said that the best form of government was a benign despotism, but in the history of the world despots are rarely benign. Nanny states can become Pol Pot's Cambodia at the whim of the despot.

So yes, I vote for the right of people to make their own choices on decisions that do not DIRECTLY impinge upon the rest of society. Skydiving may be unwise, but it isn't the threat that runaway government is. Going without medical insurance (or life insurance, or a flu shot, or an age-50 colonoscopy) may not be the most statistically prudent course, but I believe it's better than the alternative.

What's more, if you try to force me into your subservient role I guarantee you I will be far more destructive to your society than if you just let me be.
HUFFPOST COMMUNITY MODERATOR
dancingstu
Christian, liberal lawyer
01:17 PM on 12/08/2010
It's funny how the libertarian philosophy assumes that "every man for himself" is a good thing. It's even funnier (or perhaps it's simply predictable) that Sarah Palin is opposing a push to EDUCATE parents and kids on nutrition and ENCOURAGE (not "mandate") healthy habits. Given Sarah Palin's hatred for all things educational, I suppose this position was inevitable. If someone was a true libertarian, they would NOT oppose the Let's Move program, because part of being able to make one's own decisions includes the assumption that people are making informed decisions.
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George Hanshaw
There are none so blind as those who will not see.
05:16 PM on 12/08/2010
"because part of being able to make one's own decisions includes the assumption that people are making informed decisions.”'

Good Lord, whatever gave you THAT idiotic idea? People don't make informed decisions, they make emotional ones. That's how dems stay in office. That's why the 'green' movement doesn't embrace a half-dozen nuclear power reactors in every state. That's why ANYBODY participates in a state lottery where the statistical norm is that the state is going to skim $50 out of every $100 paid in.

People make choices that are neither rational nor informed. But politics isn't about optimizing the world. It's about finding a way we can live together in relative peace and harmony. You start interfering with my life and it gives me both moral justification and incentive to interfere with yours.

Wouldn't it be much easier for you to just go do what YOU want to do than to have to get in a war with me to try to force me to do what YOU want me to do?
12:07 PM on 12/08/2010
These so-called "government intrusions" are nothing more than sound-bytes for the pundits. We WANT government in our lives to tell us what is safe, to tell industry what they can and cannot do, as a means to protect the most people. Do people like Palin believe we should abolish the FDA or the USDA? Why is it acceptable to change the approval for Lap Bands to be used on those with a BMI >30 rather than >40? They have given up on lowering morbidity by shrugging their collective shoulders and putting more people under the knife. Who do you think is going to pay for this? Yet, we can't get insurance companies to pay for education, and gym memberships, to possibly prevent this. I constantly hear politicians saying we have the best health care system in the world. What they should be saying is that we have the most expensive health care system in the world. According to W.H.O. we rank around 37, far from number 1. Thank you Mr. Shepardson for your efforts in public health.--Dr. Thomas Cristello DC, www.drcristello.com.
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HUFFPOST SUPER USER
jsalspach
love people, use things, never the reverse
06:12 AM on 12/08/2010
So if Ms. Palin is so against government intervention in our lives I'm sure she will be right up there supporting freedom of choice in reproductive rights, right? Or like most Republicans only be concerned with the unborn and the rest of the population is on their own?
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Hammerofthor
05:53 AM on 12/08/2010
Gov. Palin's point is: Doughnuts don't make you fat. Inactivity does. Get off your duff and exercise.
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HUFFPOST SUPER USER
jsalspach
love people, use things, never the reverse
06:14 AM on 12/08/2010
Half Gov Palin doesn't have a point, she just wanted to make sure she got in her usual childish digs at those smarter and more socially involved than herself (First Lady Michelle Obama).
HUFFPOST COMMUNITY MODERATOR
dancingstu
Christian, liberal lawyer
01:19 PM on 12/08/2010
Actually, Sarah Palin doesn't want the government telling people about nutrition OR exercise. In case you missed it, the Let's MOVE program includes a goal of encouraging physical activity. It sounds like you're in agreement with the First Lady on this one.