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CBS/ AP/ July 27, 2009, 9:15 PM

Obesity Takes 9% of Health Spending

Obesity's not just dangerous, it's expensive. New research shows medical spending averages $1,400 more a year for an obese person than for someone who's normal weight.

Overall obesity-related health spending reaches $147 billion, double what it was nearly a decade ago, says the study published Monday by the journal Health Affairs.

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The higher expense reflects the costs of treating diabetes, heart disease and other ailments far more common for the overweight, concluded the study by government scientists and the nonprofit research group RTI International.

RTI health economist Eric Finkelstein offers a blunt message for lawmakers trying to revamp the health care system: "Unless you address obesity, you're never going to address rising health care costs."

Two-thirds of Americans are either overweight or obese, and the average American today is 23 pounds overweight, said Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention.

"Obesity and with it diabetes are the only major health problems that are getting worse in this country, and they're getting worse rapidly," Frieden said Monday at the CDC's first major conference on the obesity crisis.

CBS News correspondent Mark Strassmann spoke with an Atlanta man who was among the dangerously overweight. Three years ago, Tim Lenczowski was fighting for his life. He weighed 335 pounds and wore jeans size 50.

Through exercise and diet, he dropped 120 pounds -- after his alarmed doctor prescribed him heart medication.

"And that's what really got me thinking I gotta do something. Or I'm not going to make it," said Lenczowski.

It's not an individual problem but a societal problem - as the nation's health bill illustrates - that will take society-wide efforts to reverse, Frieden stressed. His agency last week released a list of strategies it wants communities to try. They include: increasing healthy foods and drinks in schools and other public venues; building more supermarkets in poor neighborhoods; encouraging more mothers to breast-feed, which protects against childhood obesity; and discouraging consumption of sodas and other sweetened beverages.

The average American consumes 250 more daily calories today than two or three decades ago, 120 of them from those kinds of drinks, Frieden said. Science suggests that while eating a candy bar before dinner will spoil your appetite, liquid calories don't - you won't cut back on dinner if you have a sugary soda first.

He said there's some evidence that adding a tax to those drinks might help curb consumption, although he stressed that wasn't a view of the Obama administration.

As CBS News correspondent Nancy Cordes reports, some health advocates are urging Congress to help pay for health care reform with a tax on non-diet sodas.

The new Health Affairs study found obesity-related conditions now account for 9.1 percent of all medical spending, up from 6.5 percent in 1998. During that time, the obesity rate rose 37 percent.

On average, health bills for a normal-weight person are about $3,400 a year, but that rises to $4,870 for someone who's obese, Finkelstein said. Prescription drugs are the biggest driver of those costs: Medicare spends about $600 more per year on medications for an obese beneficiary than a normal-weight one.

Health economists have long warned that obesity is a driving force behind the rise in health spending. For example, diabetes costs the nation $190 billion a year to treat, and excess weight is the single biggest risk factor for developing diabetes. Moreover, obese diabetics are the hardest to treat, with higher rates of foot ulcers and amputations, among other things.

The new study's look at per-capita spending may offer a shock to the wallets of people who haven't yet heeded health warnings.

"Health care costs are dramatically higher for people who are obese and it doesn't have to be that way," said Jeff Levi of the nonprofit Trust for America's Health, who wasn't involved in the new research.

"We have ways of changing behavior and changing those health outcomes so that we don't have to deal with the medical consequences of obesity," added Levi, who advocates community-based programs that promote physical activity and better nutrition.
CBS/ AP
112 Comments Add a Comment
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Optimistic_Dude says:
Bye Bye...I miss American Pie! Let me weigh what I want! So, what if it's my own fault?! Would I be different if my school lunch would've been? Interesting approach ... http://www.newsy.com/videos/the_weight_of_weight
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circe131 says:
Diet cola is as much a threat to ones health as non-diet cola and when will the FDA own up to the fact aspartame is an unhealthy alternative to sugar and replace it with stevia like other countries are doing? Why?$$$$$$$$$$$$$$$$. That's why.
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BenONC says:
Just another example of how disconnected everyone in capitol hill is with the facts of the "average" american life. Obsity is a problem but food is not the problem, but rather how we are using food for profit that is.

Obesity related illness is a big part of the financial bourden on our healthcare system and this is because the food that, people at the bottom of the financial ladder, can afford is covered with chemicals that in moderate amounts have been approved by the FDA for human consumption. The problem is that they have no choice but to eat every meal with many products that contain these moderate amounts regulary, thus their bodies endocrine systems are freaking out.

I am not am MD, but i have seen the effects of this on many family members. I remember the first McDonalds in Puerto Rico. Back then most people where fairly fit and diabetis was not a serious problem. I just visited a year or so ago an find that diabetis is rampant and obesity is a serious problem.

Maybe we should put massive taxes on big food and fast food companies that flood our markets with cheap "artificially enhanced" foods the same way we tax tabacco. Then give tax breaks, and incentives, to companies and restaurants that produce and provide certified, verified organic, local foods. That might help a bit.
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heilostar replies:
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It doesn't need to be organic to be healthy. When you consume more calories than you burn in a day, you're going to gain weight. Get off your computer or TV and exercise regularly. It wouldn't be a public health issue if these people weren't using government money to subsidize their lifestyle. I find it hard to believe that the obese people in America are eating a healthy portion of vegetables, fruits, and whole grains daily AND exercising 30 minutes. Instead they grab fast food on the way home and eat it in front of the TV all night long wondering how on earth they got diabesity in the first place (diabesity= slang for the condition of those who are obese and as a result of poor eating have Type II diabetes.)
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bcbbkake says:
I was diagnosed with diabetes (and several other endocrine problems) at the tender age of 25, following the birth of my only child. Once the docs put me on medication to control these issues, my weight started climbing, with no end in sight. (On your first visit to the doc for diabetes treatment, they typically hand you a big bag of drugs, with instructions to go home and lose weight. Good luck! Once you are on the medications, that is nearly impossible. Now they have you.) Two years ago I hit 310 lbs., seriously depressing. I am not an over-eater, so typical weight loss aids (i.e., appetite suppresants) do nothing for me. I just have a very messed up and sluggish metabolism. I have struggled for the ensuing 22 years, developing heart problems, edema, and assorted other ailments. Diet and exercise did nothing. After extensive research, I asked my doc for an RX for Orlistat, the only FDA approved weight loss aid for diabetics (not that the FDA is any kind of endorsement). The insurance would not pay (the cost for a one-month supply was about half that of my insulin), but they will pay literally thousands to keep me on insulin and many other medications that are killing me. He suggested I try Alli (OTC Orlistat), it had just come out about 2 years ago. I went on it, after trying everything else under the sun. Guess what? IT WORKS! It works by blocking the fat you eat, and rushing it through your system, giving it no time to absorb. Your body then has no choice but to pull from its reserves. I had to actually start eating more fat to assist the Alli (weird). After 2 years I have lost just over 100 pounds, (now weigh less than I did at 25) and my diabetes is almost gone! My heart problems disappeared within the first year. My bloodwork is now near-perfect in every area. If you have diabetes and/or other endocrine problems, know there is hope. Try Alli. It has worked for me when nothing else would. My whole life has changed. I am stronger, healthier, and happier than ever. Good luck and God Bless.
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ka_ree4 says:
I'm a nurse and I do realize that there are a good percentage of obese people who have a legitimate medical condidtion that is the underlying cause of their weight problems. That being said, i personally know a number of people who are obese because they are just plain LAZY. They want to set around, eat junk food, and do absolutlely as little as possible. And they call it "enjoying life".

i also know that for many, many people weight problems start in childhood. This is my personal soapbox:
Parents, you don't have to put your kids on a diet... and they don't have to have existing weight problems for you to introduce a healthy well-balanced diet.

I'm not saying that kids can't have ice cream and candy bars, but if these things are offered it should be done in moderation.
It's not hard to make small changes that will improve your childs health in the long run.
A few i've implemented:
2% or skim milk- they really don't notice the difference with 2% especially.
Whole wheat bread.
Fresh veggies with ranch dip for snacks instead of junk food.
Baked chips instead of the greasy potatoe chips.
100% juice- no sugar added.
Making simple changes like these will help your child to make healthy food choices for themselves now and as adults. :)
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winstrv says:
I love how they talk about obesity and the cost associated in health care to deal with these people yet Obama goes out and hires an overweight woman to be our Surgeon General. Great message for health care and obesity. About as good as his racial gaffe last week.
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rhs648 says:
Why not exclude obesity related illnesses from health insurance plans, both private and public. That way, there will be more health care dollars for other illnesses. We are headed for rationing anyway. This might be a good place to start. We can use the savings to help provide universal health insurance to uninsured people.
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SunDog8259 says:
Well we really need to get the truth on nutrition out there straight away or things will never change. The diet 'experts' AHA, ADA, AMA and doctors are digging in their heels and refusing to acknowledge they have been wrong for over 50 years! Saturated fat does not cause heart disease, red meat is not unhealthy, no need too toss the egg yolks. Carbohydrates and fat-- not fat and protein alone make us fat! Pyramids are symbols of Death not Life.

For an entry level eye opener look up "fat head the movie"
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TryTakingMyMoney says:
Yeah...and Obama selects a fat attorney general.
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norcal441 says:
Some simple minded out there thought I said that all fat people are pot smokers and that all pot smokers are fat. They must be smoking too much pot.

If you read my article again you will notice I didn't say anything like that.

I was just curious if $50 billion of strong appetite enhancer per year had an effect on the waist lines of some people in the nation?

Now watch the simple people open their mouths again.
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