Doctors have told people who are overweight to exercise more and eat less, when in fact their overweight may be due to genetic or other factors that exercise won’t change. UConn Rudd Center for Food Policy & Obesity, CC BY-SAObesity has emerged as a significant risk factor for poor outcomes in patients infected with COVID-19. Based on how doctors and others in health care have previously treated patients with obesity or overweight conditions, my guess is that many will respond by declaring: “Well, it’s their own fault for being overweight!” In the spirit of recognizing that people who struggle with weight loss include our family and friends, let me propose a different sentiment. To those who we have shamed for having excess body weight and/or failing diets: “You were right, and we are sorry. After giving you undoable tasks, we ridiculed you. When you tried to tell us, we labeled you as weak and crazy. Because we didn’t understand what you were experiencing, we looked down on you. We had never felt it ourselves. We did not know. And for that, we apologize.” A nutritionist talks with a patient at an obesity clinic in Mulhouse, France. BSIP/Universal Images Group via Getty Images ‘Fat shaming’ doesn’t work This is just one version of the apology we owe our fellow human beings whom we told to lose weight using diet and exercise. Then, when it didn’t work, we blamed them for our treatment plan failures and smothered their feedback with prejudice and persecution. As a physician and researcher, I have worked in this space for many years. I have witnessed firsthand the life-altering power of preexisting ideas, judgments and stereotypes. I have seen how unfounded, negative ideas are woven through virtually every interaction that those struggling with weight loss endure when seeking help. And there are tens of millions of them. The Centers for Disease Control and Prevention classifies more than 70% of U.S. adults as overweight, and more than 40% as obese. Those numbers continue to climb, and even when some manage to lose weight, they almost always gain it back over time. Rash judgments To illustrate, imagine that I am your doctor. You have a body rash (which represents the condition of being overweight or obese), and you make an appointment with me to discuss a treatment plan. During your visit, my office staff uses stigmatizing language and nonverbal signals that make it clear we are annoyed at the idea of dealing with another rash person. We invoke a set of assumptions that dictate the tone of our relationship, including the notions that you are lazy or ignorant or both. You will sense my disgust, which will make you uncomfortable. Unfortunately, health care providers commonly treat patients who struggle with weight loss by assigning stereotypes, snap judgments and ingrained negative attributes – including laziness, noncompliance, weakness and dishonesty. After this uncomfortable exchange, I will prescribe a treatment program for your rash and explain that it’s quite straightforward and easy to use. I will point you to several resources with pictures of smiling people with beautiful skin who never had a rash to emphasize how wonderful your outcome will be. “It’s just a matter of sticking to it,” I will say. Back at home, you are excited to start treatment. However, you quickly realize that putting on the cream is unbearable. It burns; your arms and legs feel like they’re on fire shortly after you apply the treatment. You shower and wash off the cream. A dismal conversation After a few days, you try again. Same result. Your body will not accept the cream without intolerable burning and itching. You return to my office, and we have the following conversation: You: Doctor, I cannot stick to this plan. My body cannot tolerate the cream. Me: This is exactly why doctors do not want to deal with rash people. I’m giving you the treatment and you won’t stick to it. I put the cream on myself every morning without an issue. You: But you don’t have a rash! Putting this cream on when you have a rash is different than putting it on clear skin. I do want to get rid of my rash, but I cannot tolerate this cream. Me: If you don’t want to follow the treatment, that’s up to you. But it’s not the cream that needs changing. It is your attitude toward sticking with it. This exchange illustrates prejudical behavior, bias and a disconnect between a provider’s perceptions and a patient’s experience. New approaches are needed for those trying to lose weight. Jamie Grill/JGI via Getty Images Prejudice and bias For someone who wants to lose weight, the experience of a diet and exercise prescription is not the same as for a lean person on the same program. Perceiving another person’s experience as the same as one’s own when circumstances are different fuels prejudice and bias. That night, though, you can’t help but wonder: “Is something wrong with me? Maybe my genes or thyroid or something? The cream seems so fun and easy for everyone else.” At this point, the blame unconscionably lands on the patient. Despite an undeniable explosion of this rash, and abysmal treatment adherence rates while we have been touting the cream, we stubbornly maintain it works. If the rash is expanding, and hundreds of millions of people are failing treatment or relapsing every day, well – it’s their own fault! As time goes on, you feel increasingly discouraged and depressed because of this untenable situation. Frustration wears on your sense of optimism and chips away at your happy moments. You have this rash and you can’t tolerate the treatment plan, but no one believes you. They judge you, and say you choose not to use the cream because you lack willpower and resolve. You overhear their conversations: “It’s her own fault,” they say. “If that were me, I would just use the d#$% cream.” This is the very definition of prejudice: an opinion, often negative, directed toward someone and related to something that the individual does not control. Although it has been extensively demonstrated that the causes for overweight and obesity are multifactorial, the myth that it’s the patient’s fault is still widely accepted. This perception of controllability leads to the assignment of derogatory stigma. A setup for failure That evening you sit alone. You think there’s not a single person on the planet who believes your body won’t tolerate this treatment. Society believes you brought this on yourself to begin with; there doesn’t seem to be a way out. We have driven those with overweight and obesity conditions to this place far too many times. We have set them up to take the fall for our failed treatment approaches. When they came to us with the truth about tolerability, we loudly discredited them and said they were mentally weak, noncompliant or lazy. [Deep knowledge, daily. Sign up for The Conversation’s newsletter.] So where do we go from here? If we agree to stop stigmatizing, stereotyping and blaming patients for our treatment failures, and we accept that our current nonsurgical paradigm is ineffective – what takes its place? For starters, we need a new approach, founded on respect and dignity for patients. A fresh lens of acceptance and suspended judgment will allow us to shift our focus toward treatments for the body, rather than “mind over matter,” which is a concept we use for no other medical condition. A perspective based in objectivity and equality will allow caregivers to escape the antiquated blaming approach and perceive those with overweight or obese conditions in the same light as those with other diseases. Only then will we finally shift the paradigm.This article is republished from The Conversation, a nonprofit news site dedicated to sharing ideas from academic experts. It was written by: J. David Prologo, Emory University. Read more:Here’s why we crave food even when we’re not hungryVegetarian and vegan diet: five things for over-65s to consider when switching to a plant-based diet8 simple strategies to fuel your body during a pandemic J. David Prologo does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.
WATCH LIVE: Joe Biden Visiting MN To Tout Infrastructure Package
ROSEMOUNT, MN —President Joe Biden is scheduled to make a stop Tuesday, Nov. 30 in Rosemount at Dakota County Technical College to discuss the recently approved $1.2 trillion federal infrastructure package.
During his visit to Minnesota, he will discuss how it will benefit Minnesotans and create good-paying union jobs, White House Principal Deputy Press Secretary Karine Jean-Pierre recently said in a tweet.
This is Biden’s first visit to Minnesota since becoming president.
“The Bipartisan Infrastructure Deal will rebuild America’s roads, bridges and rails, expand access to clean drinking water, ensure every American has access to high-speed internet, tackle the climate crisis, advance environmental justice, and invest in communities that have too often been left behind,” the White House announced inearlier this month.
Biden signed the Infrastructure Investment and Jobs Act into law on Nov. 15.
Minnesota Democratic–Farmer–Labor Party praised the infrastructure deal, calling it a “blue-collar blueprint to rebuild America.”
“For decades, presidents from both parties have been trying and failing to pass the kind of once-in-a-generation infrastructure bill that President Biden delivered within a year of taking office. The divide between the two parties could not be more clear: Republicans used their time in power to cut taxes for the already-rich. Democrats put shots in arms and money in pockets with the American Rescue Plan, and today we delivered a historic investment in America that will create millions of good-paying, working-class jobs and repair our country’s crumbling infrastructure,” MN DFL said in.
According to, Minnesota is set to receive the following from the Infrastructure Investment and Jobs Act:
- $4.5 billion for federal-aid highway apportioned programs and $302 million for bridge replacement and repairs over five years.
- More than $818 million over five years to improve public transportation options across the state.
- $100 million to help provide broadband coverage across the state, including providing access to the at least 83,000 Minnesotans who currently lack it.
- Also, 1,071,000 or 18.9% of people in Minnesota will be eligible for the Affordability Connectivity Benefit, which will help low-income families afford internet access.
- $680 million over five years to improve water infrastructure across the state and ensure that clean, safe drinking water is a right in all communities.
Meanwhile, the Minnesota Republican Party has criticized Biden’s visit to DCTC, accusing the president of missing the mark.
“Biden’s visit to MN today marks a missed opportunity to visit Rosemount’s largest private employer: Pine Bend Refinery,” the party said in a statement posted to Facebook on Tuesday morning. “Instead, Biden will visit Dakota County Technical College, once again snubbing the energy sector that keeps Minnesota going.”
Watch Biden’s visit to Dakota County Technical College below:
Trump takes attempt to block release of his January 6 documents to court Tuesday
The arguments are likely to be an uphill battle for the former President. The Biden administration and the House are aligned against him in wanting transparency about communications in the West Wing as Trump sought to overturn the 2020 election result and his supporters raided the Capitol. Trump lost his first round in court in the case, more quickly and resoundingly than his losses when he tried to claim broad protections from investigations while he was President.
Yet by raising major, unsettled questions about the power of former presidents to control information from their time in office, the case appears to be on a path to the Supreme Court.
Trump has argued he should be able to assert executive privilege over records such as call logs and the handwritten notes of his top advisers. The Biden administration has declined to keep January 6-related White House documents confidential.
Judge Tanya Chutkan of the DC District Court previously smacked down all of Trump’s arguments in the case. “Presidents are not kings, and Plaintiff is not President,” she wrote in her opinion earlier this month.
Presidential privilege “exists for the benefit of the Republic, not any individual,” Chutkan also wrote.
So far the panel has shown an inkling of doubt. Last week, they told Trump, the House and the Biden administration to be prepared to address questions of whether the court can even decide a case like this — in addition to the arguments the parties are already prepared to make.
Wilkins also has been a strong voice on recent politically charged cases. He wrote a strong dissent against the dismissal of former Trump national security adviser Michael Flynn’s guilty plea in 2020 and authored the opinion that set the standard for the jailing of Capitol riot defendants before their trials.
Four collections of records from the Trump White House that have been reviewed by the National Archives are poised to go to the House committee if Trump ultimately loses the appeal. Witnesses subpoenaed by the House, including Meadows himself, have used the ongoing court case as a shield to skirt testifying.
Currently, the appeals court has put a temporary hold on the National Archives releasing the records Trump contests, pending its issuance of another order.
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To assess how far the economy has recovered from the piling rubble of COVID-19’s devastation, it will be more prudent to compare the current year’s metrics with that of 2019-20, the immediate pre-COVID-19 year.. Which of these youngsters will score more runs this ipl? Thank You for Voting chat box 02 Dec – 14:00 hrs Taxation of profits on sale of shares chat box 02 Dec – 14:00 hrs Taxation of profits on sale of shares No AGM / EGM available
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To assess how far the economy has recovered from the piling rubble of COVID-19’s devastation, it will be more prudent to compare the current year’s metrics with that of 2019-20, the immediate pre-COVID-19 year..
Which of these youngsters will score more runs this ipl?
Thank You for Voting
02 Dec – 14:00 hrs
Taxation of profits on sale of shares
02 Dec – 14:00 hrs
Taxation of profits on sale of shares
No AGM / EGM available
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