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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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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 Méabh
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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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To: Gene Eric

51 posted on 06/28/2012 5:37:34 AM PDT by GailA (IF U don't/won't keep your promises to the Military, U won't keep them to the public)
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To: FlingWingFlyer

I’m 5 lbs over weight does that make me obese? I’m also short 5’ and 64, so I look like the great grand ma I am.

Can they force me to take drugs that are worse than the diseases I have? I send more drugs back to the pharmacist than I purchase because they are side effect riddled..and I know what they will do to my body. Lets see, Cholesterol drugs..they go back, as they effect muscles, and I have Fibromyalgia, osteoporosis Fosamax...it goes back, 2,000 law suits for degenerative jaw disease and broken femurs, several antibiotics I’ve had bad reactions to go back. Lyrica..it goes back, it causes more PAIN than it helps relieve.

If this law stands can they force me to take these nasty side effect riddled drugs?


52 posted on 06/28/2012 5:47:31 AM PDT by GailA (IF U don't/won't keep your promises to the Military, U won't keep them to the public)
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To: Tolerance Sucks Rocks
Politicians and bureaucrats should get counseling for neurotic control issues. I recommend thorazine and straight jackets. If that fails then water boarding.

Don't even think that I'm kidding.

53 posted on 06/28/2012 6:00:48 AM PDT by TigersEye (Life is about choices. Your choices. Make good ones.)
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To: Tolerance Sucks Rocks

The public / we need to see the stats on ...

Food Stamps vs. Obesity

The feds and Obama are creating this Obesity dilema. EBT allowance are much higher than any human needs for health survival. It’s like double what one who pays out of their pocket spends on food.


54 posted on 06/28/2012 8:20:08 AM PDT by George from New England (Ecaped CT in 2006, moved to north of Tampa)
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To: CitizenUSA

WE HAVE a WINNER!!!


55 posted on 06/28/2012 9:39:13 AM PDT by JohnD9207 (Mitt better grow a pair or this thing will be over soon.)
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To: Tolerance Sucks Rocks

Why not refer the program to them? You can tell a person to go to weight loss counseling, but that won’t make them go. You report the overweight to the Commission, and then send the social workers to them, then you get action.


56 posted on 06/28/2012 9:55:55 AM PDT by ichabod1 (Cheney/Rumsfeld 2012)
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To: Cementjungle

Oooh, no, the USDA is running commercials now with two older black ladies talking, and it seems that food stamps are PART of a healthy diet that may help to reduce obesity in the US by 2025.


57 posted on 06/28/2012 9:58:10 AM PDT by ichabod1 (Cheney/Rumsfeld 2012)
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To: Jeff Chandler

No. A lot of fat people get that way from eating lots of “healthy, whole grains.” Their bellies are known in Wheat Belly circles as, what else, wheat bellies. Eliminating wheat and other grains and carbs from the diet can reduce that wheat belly significantly, with other health improvements as well.


58 posted on 06/28/2012 3:30:56 PM PDT by Tolerance Sucks Rocks (Occupy DC General Assembly: We are Marxist tools. WE ARE MARXIST TOOLS!)
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To: Alamo-Girl

Thanks!


59 posted on 06/28/2012 3:32:39 PM PDT by Tolerance Sucks Rocks (Occupy DC General Assembly: We are Marxist tools. WE ARE MARXIST TOOLS!)
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To: P-Marlowe

So I should risk heart disease, a return to severe acne problems and diabetes, and maybe even certain cancers, on the off-chance that we might have a famine in this country?

On the other hand, if 0 wins a second term, I just might go back to breads and cereals, and join you at the buffet. I might need to store lost of fat in case he does some hideous executive order on our agricultural sector.


60 posted on 06/28/2012 3:35:54 PM PDT by Tolerance Sucks Rocks (Occupy DC General Assembly: We are Marxist tools. WE ARE MARXIST TOOLS!)
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