Sultan Knish
It's easy to dismiss New York City Mayor Bloomberg's latest nanny state
hiccup as the control-freak antics of a powerful man --but that would be
missing the point. Bloomberg did not come up with the idea of banning
sodas during a spa session on his private island. His implementation of
it may be more overtly obnoxious, but the idea that there is a national
health crisis that can only be solved by getting people to stop eating
sugary foods, is ubiquitous among social policy wonks and national
experts on telling people what to do.
In 2007, a conference on obesity was held at George Washington
University, sponsored by the Stop Obesity Alliance and the Obesity
Association. The Stop Obesity Alliance may sound like a silly
afterthought of a group, but its steering committee members include
AHIP, the trade group for the health insurance industry; AMGA, the trade
association for health care groups; SEIU, one of the largest unions in
the country; and NBGH, a business health group representing major
companies like Apple, FedEx, Kellogg, Unilever and Walmart.
It was no wonder then that virtually every Democratic and Republican
candidate running for office either showed up in person, or sent a proxy
to explain how their administration was going to fight obesity.
"The next president must commit to fighting America's obesity problem
and possess the experience to win the fight," Governor Bill Richardson
said, and vowed to make fighting obesity one of his top priorities.
You might be laughing, but don't. The obesity epidemic buzzword has
penetrated every major company, as well as every level of government and
academia. That translates into a policy bulldozer with private-public
partnerships that will control every aspect of your life.
When think-tanks convince corporations that they're losing money because
of obesity, they sponsor trade associations that invite politicians
down to explain what they're going to do about it. Health insurance
companies have crunched the numbers and decided that they can save
billions if the government manages to make people lose weight.
Corporations that employ a lot of people and pay for their health
insurance think they can save a fortune on health insurance if employee
obesity is cut. They have their own employee incentives, but mostly they
want the government to do something about it.
Why do you think the 2012 election came down to a race between ObamaCare
and RomneyCare? Because the power players agree that we need national
health care; they only disagree over what kind of national health care
we need. Just like they agree that we need "immigration reform",
tolerance for Islam and a War on Terror that doesn't disrupt
international trade. We don't need those things, but they do, and they
are determined to force them down our throats.
To understand the genesis of Bloomberg's lunacy, you have to go back to
groups like the Stop Obesity Alliance. And it's not the only such group.
There's the Campaign to End Obesity, whose board includes executives
from major health companies and non-profits, including Pfizer, Johnson
& Johnson and Humana. Every time you hear another talking head going
on about the dangers of obesity to America, he's repeating talking
points lifted from "F as in Fat: How Obesity Threatens America's
Future", a report from the Robert Wood Johnson Foundation, the country's
largest health care foundation, which doles out 400 million dollars a
year in grants. Its primary focus... obesity.
"F as in Fat" includes extensive material on government legislation,
everything from soda taxes to menu labeling to "complete streets
programs", which New Yorkers will recognize as the melange of bike lanes
that squeeze out cars; what they don't know is that it is used to fight
obesity. HR 1780: The Safe and Complete Streets Act is a congressional
bill that would turn every city into the same nightmare of snarled
traffic and no parking.
Around the same time that policy men and women were telling the Stop
Obesity Alliance what they would do about fat people, there were
warnings in the U.K. that obesity would bankrupt the NHS, and
Australia's Labor Party vowed to tackle the "national obesity crisis" as
a study claimed that 95 percent of Australians were "unfit". The
hysteria is worldwide.
Once you define a problem, then you convene groups to find a solution.
The source of Bloomberg's insanity was a report by the New York City
Obesity Task Force, which claimed, among other things, that obesity
disproportionately affected minorities and that it was an environmental
disease. Among a wide range of initiatives, it called for a cap on the
size of sodas that can be sold in restaurants. But that's small potatoes
compared to its Active Design Guidelines, which involve restructuring
the landscape of the city in a way that will force people to engage in
more physical activity. Boiled down that means forcing every building to
be designed in a way that will compel people to use staircases.
It's not just about the power, it's also about the numbers. If you start
thinking of people in a city as consumers, then it's easy to see that
Bloomberg is only doing what corporations do all the time, looking for a
way to cut costs. Government health care means that everyone is a
government customer, buying a product that can't be paid for, and that
requires constant cost-cutting efforts.
The product is cradle-to-grave health care. The costs are astronomical.
The experts keep attending conferences discussing how to cut those
costs. They're no different in that from corporate experts called in to
discuss how to reduce the cost of manufacturing a bottle of soda, a pair
of jeans or a microchip.
The experts can't tell the company that the bottleneck is the system,
that the company needs to fire most of its vice-presidents and half its
managers, reduce advertising, stop hiring experts to consult on
everything and streamline its operations. They certainly can't tell it
that the product it is manufacturing is no longer relevant to consumers
or that its methods are so outdated that it has no future in the
marketplace. Instead, they identify a conceptual bottleneck in consumer
culture or corporate culture, a buzzword-oriented problem that the
company needs to tackle as its number one priority.
This is where the government is. The current bottleneck is obesity. Get
rid of the fat people and government health care will work fine. After
the fat people, it will be the old people. The last of the smokers.
After that, a bid to keep people with genetic diseases from reproducing.
There's no end to this sort of thing because the system is inherently
broken and is trying to fix itself by fixing the people. And that won't
work.
The obesity epidemic is a convoluted way of saying that the problem with
government health care is the people. But that's not the problem.
Obesity may not be healthy, but if we ban sodas and force everyone to
exercise in the yard before work, the numbers still won't balance.
Because the real problem with government health care is government.
When offering a product or service, the most elementary thing to do is
calculate the cost of making the product and the price that people are
willing to pay for that product. If you can't bring the two together,
then you don't have a product. You have a disaster waiting to happen.
Government health care adds an army of middlemen between health care
producers and consumers, on top of the army it already implemented with
HMO's and earlier regulators. Then it tries to balance the books in
terms of costs, while only recognizing the costs created by health care
consumers, while ignoring the costs of the system. It's a classic case
of the problem trying to treat the problem. Every new gimmick only adds
to the bloat. The war against obesity will end up devouring whatever
health care savings are gained from reducing obesity. Because the
problem isn't the obesity of consumers, it's the porcine system that
can't stop gorging, while demanding that the citizenry purge.
It's easy to blame individual obesity rather than collectivist obesity,
and so we are treated to the obscene spectacle of a system that can't
stop wasting billions and trillions of dollars, checking everyone's soda
cup size, because down the road they may lose weight and that may lower
the cost of covering their health care.
Hundreds of millions of dollars in grant money are changing hands, from
private foundations to obesity researchers, from national to local
governments, from local governments to consultants and from health
insurance companies to obesity alliances. Offices are renovated,
executives are installed, papers are authored, charts are drawn up,
presentations are given, conferences are convened, policy is made, and
people's lives are made miserable by this army of public-private
overlords obsessed with their ounces.
Money that could genuinely be used to help people is being spent on an
administrative infrastructure in a national policy campaign against
human biology. King Xerxes ordering that the sea be whipped showed more
reason and sanity than a global obesity hysteria over an inevitable
outcome of a society with sedentary jobs and plentiful food. Not to
mention hordes of immigrants from cultures in which obesity is
considered to be a good thing.
Government can't make people thin, but people can make government thin.
And studies have shown that slimming down government prevents tyranny,
oppression and inspectors measuring your soda cup with a ruler. A
healthy society may have fat people, but it has skinny government. It is
not a nation tasked with a war on weight, but a nation of free people
of all sizes.
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