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Where smart people go to understand more about the political and social world around them - as moderated by your host, RS Davis. Irreverent political commentary, satire, and discussion from the world's coolest punk rock libertarian...


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RS



Last Updated: 3/14/2009

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Gender: Male
Status: Married
Age: 35
Sign: Leo

City: Saint Louis
State: Missouri
Country: US
Signup Date: 5/26/2007

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February 5, 2008 - Tuesday 

Category: News and Politics

Hello Freedomphiles!  See that winner above?  He's saving us all money.  And let me tell you why....

For years, health fascists have been saying that we need more laws against smoking, more helmet laws, more taxes against fattening foods.  When we bring up personal freedom, they always resort to, "Someone has to pay all these extra medical bills.  Their lifestyle is taxing the state into bankruptcy."

As little as I think of fiscal arguments against freedom, I always countered with the fact that someone who doesn't live long doesn't tax the system in their old age.  It has always been my contention that people who engage in risky behaviours and die young actually save the state money.

Well, some Dutch researchers have proven me right.  Yahoo! News reports:

In a paper published online Monday in the Public Library of Science Medicine journal, Dutch researchers found that the health costs of thin and healthy people in adulthood are more expensive than those of either fat people or smokers.

Van Baal and colleagues created a model to simulate lifetime health costs for three groups of 1,000 people: the "healthy-living" group (thin and non-smoking), obese people, and smokers. The model relied on "cost of illness" data and disease prevalence in the Netherlands in 2003.

The researchers found that from age 20 to 56, obese people racked up the most expensive health costs. But because both the smokers and the obese people died sooner than the healthy group, it cost less to treat them in the long run.

On average, healthy people lived 84 years. Smokers lived about 77 years, and obese people lived about 80 years. Smokers and obese people tended to have more heart disease than the healthy people.

Cancer incidence, except for lung cancer, was the same in all three groups. Obese people had the most diabetes, and healthy people had the most strokes. Ultimately, the thin and healthy group cost the most, about $417,000, from age 20 on.

The cost of care for obese people was $371,000, and for smokers, about $326,000.

The results counter the common perception that preventing obesity will save health systems worldwide millions of dollars.

It just feels right to be right so often.

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Currently reading:
For Your Own Good: The Anti-Smoking Crusade and the Tyranny of Public Health
By Jacob Sullum
Release date: 01 April, 1998
Over Unity

 
It's not just early death. The CDC released a report a few years ago that found that the mildly obese suffer fewer health problems than thin people. This is because people who are obese are generally so not because of poor habits, but because of genetic and epigenetic predisposition. They can see that they are fat, they get chided about being fat, and suffer other social consequences for being fat, and therefore trying to be healthy, whether it's eating nutritiously or exercising, is at the top of their priorities. And they pursue it vigorously, even if it's ineffective toward changing their appearance. The thin people, however, have no such motivation -- they can eat all the chips and ice cream that they want, and veg out on the couch all day, and not suffer any of the obvious physical signals of poor health. It's like not feeling any pain -- you could break your leg and walk around on it, not realizing that you're making it much, much worse. Therefore, it's the thin people who suffer strokes and heart attacks because they didn't realize their cardiovascular health was so poor until it's too late. Mildly obese people are often much healthier than their thinner counterparts throughout most of their lives, but catch up and surpass them however, because being active is harder when you're fat, especially as you age. Eventually, it's too hard to keep trying, and so they give in to just relaxing, enjoying life, living with the consequences, and awaiting death. In the end, anyone who abused their health -- whether fat or thin -- dies first, and it's the thin people who bothered to eat healthy and exercise, or have the genetic predisposition for longevity, that live the longest -- which is a very small group.

As far as evolution is concerned, there's little to select for longevity. Few people will die before about 50 from natural causes, statistically speaking, no matter their health habits. Once you have your children and raise them, however, you are expendable. After that, the body doesn't put up with abuse. The next generation already exists and is well on their way to creating yet another generation, and so you are obsolete. If you want to live long after that, you have to treat your body like a machine, like a classic car, keeping all of the parts meticulously clean and in good working order, keeping all of the fluids clean and topped off, driving it often enough to keep the engine from gunking up, but not driving it too hard either. Ignore basic maintenance and you'll drive it straight into the ground.
 
Posted by Over Unity on February 5, 2008 - Tuesday - 6:06 PM
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