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Obese adults should get counseling, federal task force says
The Los Angeles Times ^ | June 25, 2012 | Melissa Healy

Posted on 06/27/2012 9:55:53 PM PDT by Tolerance Sucks Rocks

In a move that could significantly expand insurance coverage of weight-loss treatments, a federal health advisory panel on Monday recommended that all obese adults receive intensive counseling in an effort to rein in a growing health crisis in America.

The U.S. Preventive Services Task Force urged doctors to identify patients with a body mass index of 30 or more — currently 1 in 3 Americans — and either provide counseling themselves or refer the patient to a program designed to promote weight loss and improve health prospects.

Under the current healthcare law, Medicare and most private insurers would be required to cover the entire cost of weight-loss services that meet or exceed the task force's standards.

That could all change Thursday, when the U.S. Supreme Courtis expected to rule on the constitutionality of President Obama's healthcare law, which requires adoption of certain recommendations from the task force, such as this one on obesity.

Few private health insurers now reimburse physicians for weight-loss counseling or pay for programs that patients seek out on their own. A growing number, in fact, charge obese patients more for coverage — a policy that some public health officials have denounced as punitive and ineffective.

The task force concluded after a review of the medical literature that the most successful programs in improving patients' health were "intensive, multicomponent behavioral interventions." They involve 12 to 26 counseling sessions a year with a physician or community-based program, the panel said.

Successful programs set weight-loss goals, improve knowledge about nutrition, teach patients how to track their eating and set limits, identify barriers to change (such as a scarcity of healthful food choices near home) and strategize on ways to maintain lifestyle changes, the panel found.

In some cases, programs include exercise sessions as well.

(Excerpt) Read more at latimes.com ...


TOPICS: Business/Economy; Culture/Society; Government; News/Current Events
KEYWORDS: counseling; diabetes; health; healthcare; heartdisease; nannystate; nutrition; obamacare; obesity; weightloss
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1 posted on 06/27/2012 9:55:59 PM PDT by Tolerance Sucks Rocks
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To: Tolerance Sucks Rocks

The communists that have infiltrated are government are pining for the ways of China. Go to Hell, communists!


2 posted on 06/27/2012 9:58:38 PM PDT by Gene Eric (Your Hope has been redistributed. Here's your damn Change!)
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To: Tolerance Sucks Rocks

Yeah, have a social worker talk people out of being fat, that should work.


3 posted on 06/27/2012 9:59:06 PM PDT by PGR88
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our government


4 posted on 06/27/2012 9:59:33 PM PDT by Gene Eric (Your Hope has been redistributed. Here's your damn Change!)
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To: Eric Blair 2084; SheLion; Gabz; Hank Kerchief; 383rr; libertarian27; traviskicks; bamahead; CSM; ...
I, on the other hand, have lost 28 pounds so far following something analogous to the Wheat Belly diet. No counseling needed.

Nanny State PING!

5 posted on 06/27/2012 9:59:49 PM PDT by Tolerance Sucks Rocks (Occupy DC General Assembly: We are Marxist tools. WE ARE MARXIST TOOLS!)
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To: Tolerance Sucks Rocks

This is about far more than fat people and tax deductible dieting. If it was that much I’d say fine, make these diet programs tax deductible and see what happens.

This is about jolly well anything the high muckety mucks think they ought to do about people’s health no matter how quixotic. Imagine Bloomberg with PPACA powers.


6 posted on 06/27/2012 10:01:07 PM PDT by HiTech RedNeck (let me ABOs run loose, lew)
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To: Tolerance Sucks Rocks
First they came for the fat people and I said nothing because... because...

Hey! Wait a minute! I AM fat!!!

7 posted on 06/27/2012 10:02:45 PM PDT by null and void (Day 1254 of our ObamaVacation from reality - Obama is not a Big Brother [he's a Big Sissy...])
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To: Tolerance Sucks Rocks

Thanks for the ping! And... congratulations!


8 posted on 06/27/2012 10:03:34 PM PDT by Alamo-Girl
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To: Tolerance Sucks Rocks; xzins; blue-duncan

Fat people are the last to die in a Famine.

Skinny people are the first to die.

Remember that next time you decide on the Salad rather than the Big Mac.


9 posted on 06/27/2012 10:04:43 PM PDT by P-Marlowe (Virgil Goode! Because everyone else is Bad!)
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To: Alamo-Girl

OK..they can start the program with that fat lady in the uniform...the Sturgeon General. If they can get her to loose about 50 lbs they can trumpet their success.


10 posted on 06/27/2012 10:06:22 PM PDT by Oldexpat
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To: Tolerance Sucks Rocks

Geez, what’s next? Taxpayer funded contraception and abortion?


11 posted on 06/27/2012 10:08:07 PM PDT by umgud (No Rats, No Rino's)
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To: Tolerance Sucks Rocks

“Obese” Americans should demand that powah-hungry, lowlife politicians and “public servants” also be required to get “counseling”. Preferably the kind that involves frequent ass kickings by two doctors named Vinnie and Louie.


12 posted on 06/27/2012 10:08:07 PM PDT by FlingWingFlyer (America! The big pinata!)
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To: Tolerance Sucks Rocks

As much as I detest this, I am chuckling a bit at the thought of what some overweight liberals I know will think when they’re assigned a therapist to counsel them on their weight. Compliments of their hero Obama.


13 posted on 06/27/2012 10:10:49 PM PDT by richmwill
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To: Tolerance Sucks Rocks

Eliminate food stamps to anyone who is overweight.


14 posted on 06/27/2012 10:17:30 PM PDT by Cementjungle
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To: P-Marlowe
Fat people are the last to die in a Famine.

Historically, that might have been true for some time, but maybe not today. And we haven't seen famine since the USSR.

The flip side is that some skinny people eat the Big Mac AND the salad and the fries.

I don't expect to be the first one down. ;)

/johnny

15 posted on 06/27/2012 10:22:29 PM PDT by JRandomFreeper (Gone Galt)
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To: Tolerance Sucks Rocks

This obese classification is so stupid I want to scream.
I took my five year old grandson for his kindergarten check up and he was declared obese because of the federal guild lines.
The doc kept reweighing him, she said good god I can count his ribs, he is not obese.
Yet, he became part of the fed statistics.
I am beginning to loath any/all federal guild lines.


16 posted on 06/27/2012 10:23:13 PM PDT by svcw (If one living cell on another planet is life, why isn't it life in the womb?)
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To: Tolerance Sucks Rocks

Wheat Belly diet? Is that anything like the beer belly diet?


17 posted on 06/27/2012 10:23:46 PM PDT by Jeff Chandler (What did the president know and when did he stop knowing it?)
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To: Tolerance Sucks Rocks

I guarantee that the government will get the correct science necessary to give good advice. For an insight into some of the newest science on the matter, here is this post from today:

http://www.freerepublic.com/focus/f-chat/2730564/posts

And this, from December 20, 2010:

http://www.freerepublic.com/focus/f-chat/2678741/posts

It is becoming evident that it is the type of calories we eat and not how much of them you can burn off.


18 posted on 06/27/2012 10:24:41 PM PDT by jonrick46 (Countdown to 11-06-2012)
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To: Jeff Chandler

Or where you’ve gone from a six-pack to a full keg.


19 posted on 06/27/2012 10:25:11 PM PDT by HiTech RedNeck (let me ABOs run loose, lew)
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To: jonrick46
I guarantee that the government will get the correct science necessary to give good advice.

Like in catastrophic anthropogenic global warmism?

20 posted on 06/27/2012 10:26:33 PM PDT by HiTech RedNeck (let me ABOs run loose, lew)
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To: Tolerance Sucks Rocks

I failed to add the important word “not.” Sorry for the repost:

I guarantee that the government will not get the correct science necessary to give good advice. For an insight into some of the newest science on the matter, here is this post from today:

http://www.freerepublic.com/focus/f-chat/2730564/posts

And this, from December 20, 2010:

http://www.freerepublic.com/focus/f-chat/2678741/posts

It is becoming evident that it is the type of calories we eat and not how much of them you can burn off.


21 posted on 06/27/2012 10:27:09 PM PDT by jonrick46 (Countdown to 11-06-2012)
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To: Tolerance Sucks Rocks

An HHS Department of Flensing could correct this problem with a simple mandate.


22 posted on 06/27/2012 10:31:42 PM PDT by seton89 (Forward! to despotism.)
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To: Tolerance Sucks Rocks

Yup, people who’ve been struggling for years with eating disorders that subject them to severe health risks and daily humiliations just need a good talking-to by the government.


23 posted on 06/27/2012 10:39:24 PM PDT by AnotherUnixGeek
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To: Tolerance Sucks Rocks

As an Rn, I can only imagine and have nightmares. I’ve had nutrition classes. I was a borderline, pregnancy induced diabetic with my 3rd child, and nutritional counseling was prescribed. I had, and could only suffer through, one visit. “But you can eat some mayonnaise if you want on your food.” “I don’t eat mayonnaise.” “But you can if you want.” “I haven’t eaten it for years. I don’t eat it.” “But it’s ok if you want to...,” and on and on. I knew more about nutrition than she did. I was about 3 seconds from standing up and slapping her. “Hey, lady, I don’t eat mayonnaise. Why do you continue to talk about it?” And the kicker- she was herself obese.


24 posted on 06/27/2012 10:43:02 PM PDT by pops88 (Standing with Breitbart for truth.)
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To: Tolerance Sucks Rocks
Fat counseling! The next scam after diversity counseling.

Let me take a shot at it.

1. Take the stairs instead of the elevator!
2. Order the salad with lite dressing instead of the supersized Big Mac!

Bill the corporation $10,000.

25 posted on 06/27/2012 10:47:21 PM PDT by AU72
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To: Tolerance Sucks Rocks

And what if fat people tell the Fed to go pound sand? Will they be forced to live on fat farms, and watch wookie videos?


26 posted on 06/27/2012 11:20:29 PM PDT by pallis
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To: Tolerance Sucks Rocks

As if anyone’s going to listen to the people who made them fat in the first place.


27 posted on 06/27/2012 11:24:34 PM PDT by <1/1,000,000th%
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To: HiTech RedNeck

Check out my repost. This illustrates how one can get it wrong with a simple error. The government’s simple errors can cost us big.


28 posted on 06/27/2012 11:28:33 PM PDT by jonrick46 (Countdown to 11-06-2012)
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To: Tolerance Sucks Rocks

Great idea! Unless the SCOTUS rules otherwise, it’s the federal government’s job to regulate all health care. That’s interstate commerce, isn’t it? Given that, the only limit is our imagination. Good food, for example, is certainly related to good health, right? So is exercise. Even a good night’s sleep is a health concern. Therefore, there’s no excuse for not acting.

The federal government MUST mandate that insurance companies cover premium mattresses, top quality organic food, and fitness club memberships. That’s just a start. For example, a good mattress won’t provide a healthy night’s sleep if you don’t also have a climate controlled room to sleep in, fine food won’t help if you don’t have a dietitian, and good exercise isn’t possible without a personal trainer. Health insurance must cover it all!

Really, the sky is the limit. For example, mandatory exams will be required at every step to evaluate your health status and fitness progress. Yeah!

When all is said and done, only two exemptions to the mandatory coverages will be permitted. A woman will still have the right to murder their unborn child and homosexuals will still have the right to bugger their mates. See now? All hail the brave new world!


29 posted on 06/27/2012 11:30:36 PM PDT by CitizenUSA (Why celebrate evil? Evil is easy. Good is the goal worth striving for.)
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To: Tolerance Sucks Rocks

When will the First Wookie get her talking to?


30 posted on 06/27/2012 11:35:29 PM PDT by Secret Agent Man (I can neither confirm or deny that; even if I could, I couldn't - it's classified.)
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To: P-Marlowe

Both ends of the spectrum go first. Skinny too weak. Fat, too fat, get fatty liver, die. Middle of the road keeps you going good. Little cushion can burn off and your liver isn’t hit too hard, still have muscle left.


31 posted on 06/27/2012 11:37:56 PM PDT by Secret Agent Man (I can neither confirm or deny that; even if I could, I couldn't - it's classified.)
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To: Tolerance Sucks Rocks

The fat poor people will revolt, if they could get off the couch.


32 posted on 06/27/2012 11:38:45 PM PDT by Secret Agent Man (I can neither confirm or deny that; even if I could, I couldn't - it's classified.)
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To: Tolerance Sucks Rocks
When you give the government control of your health care, they gain the right to regulate any behavior that affects the cost of that health care.

"controlling" obesity is only the beginning.

These people want control over EVERY aspect of your life.

33 posted on 06/27/2012 11:49:03 PM PDT by Species8472 (Stupid is supposed to hurt)
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To: jonrick46

OK, though I kind of caught an irony in the first version and that’s how I answered, with the same irony.


34 posted on 06/28/2012 12:18:38 AM PDT by HiTech RedNeck (let me ABOs run loose, lew)
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To: CitizenUSA

Epic. When do I get my gym membership, my EBT card specifically for Whole Foods, and my Sleep Member bed? I already know about the free cell phones, WIC and free Health Department health care.


35 posted on 06/28/2012 12:23:45 AM PDT by pops88 (Standing with Breitbart for truth.)
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To: Tolerance Sucks Rocks

How many more crematoriums must suffer? HOW MANY!?


36 posted on 06/28/2012 12:50:56 AM PDT by skeama
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To: pops88

Naw, if you’re fat your food stamps are only good for carrots, celery, lettuce, and V8 juice.


37 posted on 06/28/2012 2:58:01 AM PDT by HiTech RedNeck (let me ABOs run loose, lew)
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To: HiTech RedNeck

Or where you’ve gone from a six-pack to a full keg.

Not that there is anything wrong with that.


38 posted on 06/28/2012 2:58:28 AM PDT by bikerman (Obama lied,economy died.)
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To: Cementjungle

Eliminate food stamps to anyone who is overweight.

________________________________________________

I can one up that arguement, bills introduced in Congress stopping all food stamp purchases of unhealthy food. No BBQ Ribs, No fast food from 7/11, no icecream, apple pies, cakes, ect. Lets see the fat police back up their bs with law. I would be willing no democrat will vote to limit food assistance to the poor, forcing them to make healthy choices. For all their talk, most are full of crap.


39 posted on 06/28/2012 3:13:39 AM PDT by JohnD9207 (Mitt better grow a pair or this thing will be over soon.)
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To: JohnD9207

If government is going to be in the food welfare business how about eliminating food stamps and cards entirely? Set up government warehouses to hand out (or deliver) essential supplies. I’m talking about bags of flour, sugar, rice, beans, milk, eggs, cheese, etc. NO prepared foods. NO snacks — just the basics.


40 posted on 06/28/2012 3:34:36 AM PDT by CitizenUSA (Why celebrate evil? Evil is easy. Good is the goal worth striving for.)
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To: Tolerance Sucks Rocks
I am a recovering anorexic. I wonder if Nanny Government knows how it feels to survive in a body that is cannibalizing itself, to lose a little bit of functioning every day--to lose a little bit of self every day--to feel more terrified of personal failure than you are of organ failure, to have limited access to your own mind? I dare Nanny Government to tell me I was better off, weighing as much as a prepubescent child at 24 and being as fertile as a 90-year-old woman, for not being obese. Because, as we all know, only the obese are at risk for health problems, and it's incredibly simple and easy to not be obese, and people who are obese anyway are just lazy idiots who need someone to tell them their bodies are a shameful burden on society. This is just another act of contempt for "the world's fattest country." Just because your mom taught you to hate your body and that you deserve to be rewarded or punished for a number on a scale doesn't mean others should be forced to surrender their dignity to government-mandated "fat counseling" so as not to embarrass you in front of the French.
41 posted on 06/28/2012 3:52:14 AM PDT by Mabh
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To: jonrick46

It seems that every macronutrient goes through its fifteen minutes of fame being the bad guy responsible for obesity. And it is a very human trait to want simple answers, no matter how complex the problem.

That study discussed in your first link didn’t condemn carbohydrates; it showed that too much consumption of them in relation to the other macronutrients has an effect on belly fat and overall body fat (but not weight). Clearly, we need a balanced diet, one that probably isn’t represented in the food pyramid (obesity rates didn’t stop climbing when it was introduced). The proportions don’t matter as far as overall weight is concerned: people eating huge meals, whose major activity is getting up to go to the refrigerator, are going to gain weight no matter what they eat.

BTW, “the government” makes its recommendations based on what teams of scientists tell them. There is a considerable amount of effort invested in making those recommendations as scientifically accurate as possible. The problem is, we still don’t know all that much. And many scientists are just as prone to looking for an easy answer as anyone else.


42 posted on 06/28/2012 3:58:09 AM PDT by exDemMom (Now that I've finally accepted that I'm living a bad hair life, I'm more at peace with the world.)
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To: Tolerance Sucks Rocks

With the coming Depression the obesity epidemic will be resolved


43 posted on 06/28/2012 4:16:54 AM PDT by uncbob
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To: richmwill

The urban liberals had a choice—make the subways bigger or the people smaller. It looks like they are going for door number two. :-)


44 posted on 06/28/2012 4:19:32 AM PDT by cgbg (No bailouts for New York and California. Let them eat debt.)
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To: Tolerance Sucks Rocks

By process of elimination only younge gay non-white atheists, on a vegatarian diet, will be worthy of living.


45 posted on 06/28/2012 4:36:15 AM PDT by Leep (Enemy of the StatistI)
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To: Oldexpat

We don’t see much of the Surgeon General, do we?
Not much photo ops with the svelte Moochelle

Last I noticed Kagan and Sotomayer were bit on the fluffy side, too


46 posted on 06/28/2012 4:36:39 AM PDT by silverleaf (Every human spent about half an hour as a single cell)
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To: Oldexpat

We don’t see much of the Surgeon General, do we?
Not much photo ops with the svelte Moochelle

Last I noticed Kagan and Sotomayer were bit on the fluffy side, too


47 posted on 06/28/2012 4:36:44 AM PDT by silverleaf (Every human spent about half an hour as a single cell)
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To: Cementjungle

Eliminate food stamps to anyone who is overweight.


Take away their marijuana,too. Gives them the munchies.


48 posted on 06/28/2012 4:43:35 AM PDT by Leep (Enemy of the StatistI)
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To: Tolerance Sucks Rocks

Wow! Another obama jobs program. Just think how many new counselors are going to be needed.


49 posted on 06/28/2012 5:03:05 AM PDT by Right Wing Assault (Dick Obama is more inexperienced now than he was before he was elected.)
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To: pops88

That’s a Sleep Number Bed. Better sign up for the free hearing aid too. You should be able to pick up your paper cone at a government center in just a few short months.


50 posted on 06/28/2012 5:05:08 AM PDT by BykrBayb (Somewhere, my flower is there. ~ Þ)
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