Travis County, TX:
Last week, the county commissioners voted that the county-as-employer would pay for bariatric surgery for a number of its morbidly obese employees. The county is a self-insurer with respect to health care, meaning it manages its own costs and pays them out of its own “pocket.†Under the commissioners’ logic, the cost of the surgery ($20K) is actually lower than the cost of the medical conditions associated with morbid obesity (diabetes, hypertension, etc). Financially speaking, this decision makes some sense.
County residents quickly decried the decision with something along the lines of “I don’t want my tax dollars to pay for those fatsos!†Most residents overlooked the financial basis for the decision and instead reacted to the (questionable) idea that gluttonous fat folk were getting an easy way out at taxpayer’s expense.
Though the commissioners’ solution might not be the most appropriate or efficient, the citizens’ reaction highlights the popular disdain of the obese. Why is this sentiment so vehement? Is obesity an unsightly condition? Admittedly, it isn’t very attractive. But neither are certain clothing styles. (For that matter, many people’s faces are downright homely). Does obesity reflect a lack of self-control? Possibly. But so do a variety of other indulgences, many of which do not manifest themselves outwardly. Are obese folk just lazy? Perhaps. But many non-obese people exhibit equally sedentary lives.
As we Americans get fatter by the day, we might be wise to reconsider our attitudes toward the obese and finally get to the root of this sentiment.
(Due to emphatic criticism of the plan, the county commissioners are reconsidering their decision).
(update: 09-27-06: The commissioners voted to reverse their previous decision. The commissioners explained themselves by noting the lack of evidence to prove that the surgery would indeed confer a cost savings. The commissioners also noted that public opposition was heavy. This makes you wonder about what other decisions are made without “sufficient evidence” and yet escape public scrutiny.)
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Written by Lucius