And yet we still have a huge and increasing problem with obesity in this country… so which do you think will be effective:
a.) Provide doctors with training to provide appropriate support and education to patients who are interested in losing weight; or
b.) Telling people to use “willpower” and just eat less and exercise more.
Hmmmm. Seems to me that option “b” has been around quite some time and hasn’t solved the problem.
The point is that doctors feel the need to point out that people are obese, but won’t actually provide any real help. This is like saying “Oh, you have cancer”. Some people will know what treatments to seek out – others will not and need to be told what are the pros and cons of each.
Eat less, exercise more just isn’t enough. Most people know this, yes. I knew this. However, I didn’t always know exactly how much less I should be eating to achieve sustainable weight loss; I didn’t know what exercise I could or should do, or how much. There are lots of questions involved here. Do you not think that doctors should play some role in helping people overcome what is essentially a health problem?
And do you think all people are perfectly well educated on weight loss? I beg to differ. Many people have massive misconceptions on how to lose weight. There is a lot of bad advice out there that is either plain not helpful or actually harmful.
There are plenty of diets and exercises out there that are harmful, especially to someone who is already overweight. Often they are not practical for a sustainable diet for the long term (which is what people really need to keep a healthy weight).
Yet, there are well-meaning people who fail. Rather than sitting on a high horse saying “I did it, so that means EVERYBODY can do it MY way. Just use willpower and don’t smoke!”, isn’t it be appropriate for a doctor to say, “If you want to quit smoking, here are some things that will help you…”
If I go to a doctor and ask about quitting smoking, I want to hear about options. I don’t want a sermon about how morally inferior I am for not surmounting the obstacle on willpower alone. I would expect than an ethical doctor would have a discussion with me to see if, in my situation, drugs, patches, nicotine gum, or any other treatment would increase my chance of success.
Hmm, I’m not eating a Krispy Kreme. Haven’t in ages. (checks) Oh, look, I’m still fat!
Look at reality. Most overweight people are not cramming greasy food down their craw as fast as possible. (Most Americans are overweight!) It’s a lot of little choices every day. Every portion size, every food choice, every choice that involves physical activity, a thousand choices a week can and do affect your weight. You can’t quit eating cold turkey, there’s no overcoming the withdrawal. You need to eat. Willpower is a part of it, but I think that doctors have an ethical responsibility to educate people rather than berating them. It’s a long term commitment – a lifetime commitment.
Doctors are in the business of making people healthier. Doctors like those in the OP are not making anyone healthier. People get frustrated with losing weight. I work with a whole bunch of women who are CONSTANTLY going on about their weight. Yes, on occasion they fail – but most of the time they are trying to be good, trying to exercise, but then they get frustrated because they are too hungry and tired and yet aren’t losing weight this week. If a doctor was involved, I would hope that he would help by giving reasonable advice to follow on what to eat, how much to exercise, and what to expect. This would increase results. Yes, the person has to show the will to do this, but if they do, and a doctor won’t help by giving information, I feel that this is as bad as denying a person medical treatment.