battling the bulge some immodest proposals

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Battling the bulge:some immodest proposals

for tackling obesity

Stephen S Holden

www.halfamind2.com

24 Nov 2016

2

Food, glorious food !

4

Food, glorious food !

5

Is it right to act ?

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“Good” for who ?Self

– right way to live• “flourishing”

“ethics”

Others– right way to treat

others• cooperation /

compassion

“morals”“It is an ethical matter what colour you paint your house, but it is not a moral matter” -- A.C. Grayling (2005)

7

Self-harm ?

Moderate obesity -3yrs |Morbid obesity -10yrs | Smoking -10 yrs

Peto et al. 2010 http://www.nejm.org/doi/full/10.1056/NEJMc1000079#t=article

8

Harm (costs) to others…

– obesity costs Australian taxpayers >$5.3b/yr• approximately $230/Australian

– obese more likely to • go to doctors• admitted to hospital• be unemployed and therefore, pay less tax

Grattan Institute, http://grattan.edu.au/why-we-should-tax-sugary-soft-drinks/, 23 Nov 16

9

Van Baal et al. (2008) “Lifetime m

edical costs of obesity: Prevention no cure for increasing health expenditure”

Annual vs lifetime costs ?

- annual health-care costs are highest for

- obese people earlier in life (<56 yrs)- smokers at older ages

- lifetime costs highest for -same for obese and non-obese- non-smokers !

10

Red herrings ?• growth• marketers seek

profits, wieldundue influence,behave unethically

• consensus• authority

Food for thought…or not ?

11

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What is the right action ?

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P1: do nothing !

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Proportional

obesity kills…–2.8 million people /

yrhttp://

easo.org/education-portal/obesity-facts-figures

malnutrition kills…–3.1 million people /

yrhttps://www.wfp.org/hunger/stats

most under 5 yrs of age !

15

Effective actions

STRONG

Weak

16

Secrets of the food industry

The Science of Addictive Food, CBC, March 6, 2013

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Which one do you want ?

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The “secret” of marketing

Morebigger

tastier, shinier, brighter, etc.

Less$

efforttime

Consumers want …

for

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“Convenience”

less effort & / or less time

fast-foodmedicines (Olestra), diets,

trainers/classes

motorised transportremote controls

Google, streaming, online videos

21

Conflicting desires …

22

Hyperbolic discounting

« on est plus longtemps mort

que vivant »« YOLO  ! »

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P2: sleep with the enemy

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Make it “look” bigger

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Smaller plates

Holden et al 2016

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P3: fat tax

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Consumers want an “out”

• “[Our culture] simultaneously incentivizes people to gain weight and stigmatizes them when they do”

• “…and then offers the bullshit promise of instant weight loss through some miracle diet or incredible exercise secret.”

http://www.vox.com/2015/7/7/8877041/losing-100-pounds

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Fat tax

Fast food Fasting

34

Some immodest proposals

Do nothing !………….

Sleep with the enemy

Fat tax

Battling the bulge:some immodest proposals

for tackling obesity

Stephen S Holden

www.halfamind2.com

http://www.slideshare.net/StephenSHolden/

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