Yet another study about the HUMUNGOUS costs associated with healthcare for fatties. You can guess where this one is going…
The objective of the study was apparently to ‘assess and compare health care costs for normal-weight, overweight and obese Australians’ and it involved analysis of 5-year follow up data from the Australian Diabetes, Obesity and Lifestyle study, collected 2004-2005. Data was available for 6140 participants aged over 25 years at baseline. The main outcome measures were ‘direct health care cost, direct non-health care cost and government subsidies associated with overweight and obesity…’.
The ‘results’ apparently show that the annual total direct cost (health care and non-health care) per ‘obese’ person increased to $2788. This is in comparison to the increase for the ‘normal’ weight person of $1472 . So they are saying the fatties cost almost double in associated health care and non health care costs and that in 2005, the total direct cost for Australians over 30 years of age was $6.5 billion for overweight and $14.5 billion for obese individuals – apparently some $10.7 billion more than ‘normal’ weight individuals. Fatties also apparently received $35.6 billion in government subsidies. So the total annual direct cost of overweight and obesity in Australia in 2005 was $21 billion.
Naturally, I find the outcomes of this study to be highly debateable. For a start, the participants were aged over 25 at baseline. They have been being studies since 1999, that’s 11 years. How old were the majority of the participants? People gain weight as they age (and this has been shown by other studies not to be a bad a thing, in fact it has been shown that extra weight as you age can help you live longer!). The weight status of participants was assigned according to BMI alone (in their own words) and we all know the flaws of the BMI. These researchers started with a faulty premise (that the BMI is remotely useful) so how can they be expected to come up with some meaningful results?
And what about these direct health care and non direct health care costs? What exactly does this study count as direct and non direct? Well, the sorts of things they included in direct health care costs are ambulance services, (most) prescription medication and hospitalisation. The non direct costs were things like transport to hospitals, purchase of ’special food’ and in home services. And these government subsidies? This laughably included the aged pension, the disability person, the veteran person, sickness allowance, mobility allowance and the dole (unemployment benefits).
You have got to be kidding.
Someone please tell me how many thin people are on all those Centrelink benefits. Someone please tell me how much thin people rack up in prescription medication and ambulance services. My personal prescription medication consists of the contraceptive pill and antidepressants, both of which I also took when I was THIN. I have been in an ambulance twice in my life and neither time was related to anything remotely to do with my weight. None of my hospital admissions have been due to my weight – birthing my children happened simply because I am fat? I needed my tonsils out because I am fat? Riiiight… And then to think that someone is on a veteran’s pension or the aged pension simply because they are fat?
You have got to be kidding.
Unfortunately they aren’t and we are going to see the usual media spin and fatties are going to cop it left, right and centre (as usual). No-one is going to stop and read the small print that says that less than 50% of the participants in the 1999-2000 study were also participating in the 2004-2005 follow up study and that the mean age was 56.5 years. No-one is going to consider that of the 41.3% in the ‘overweight’ BMI category, that many of them may have been only one or two kilograms ‘over weight’. No-one is going to notice that at the start of the study it says the direct cost of obesity in Australia in 2005 was $21 billion (based on both BMI and weight circumference) and but that BMI ‘obesity’ incurs just $8.3 billion.
Naturally I would also take issue with their massive assumptions regarding the number of fat people who need carers simply because they are fat, the number of people who take early retirement because they are fat, the so called loss of productivity brought about by fat employees etc. These things are called CORRELATIONS people and correlation does not equal causation. Someone should teach these researchers something about that…
Now just wait for the social outrage…