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Author Topic: The "Fat Tax" in Bama  (Read 14650 times)
devineone
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« on: October 28, 2008, 09:32:04 AM »

Since this falls under lifestyles, I guess I can post it here.
Uh-Oh what's going on in my home state? Shocked
Alabama tells its workers to slim down or pay. What's wrong with that?

http://www.theroot.com/id/48533?GT1=38002
Oct. 23, 2008--The state of Alabama has issued a warning to its state workers: Get fit or pay up.

In August, the Alabama State Employees' Insurance Board approved a plan that will charge workers  an additional $25 to cover their insurance premiums, if they don't take advantage of free health screenings available to all state employees. The program, to begin in January, will require state workers to receive medical screenings for body mass index and health problems such as high blood pressure, high cholesterol and obesity.

Critics have panned this as a "fat tax"  that unfairly punishes people for their genetic predispositions. Others argue that the measure amounts to lawful discrimination that infringes on the right of free will, much like the state's 2004 decision to offer a discount to non-smoking employees.

Nonsense. This is an opportunity, not punishment. It is an important step toward better preventive care at a time when health costs are soaring and Americans are in increasing denial  about their ever-ballooning weight. And the state is offering a free—yes, free—jumpstart. Under the plan, state employees are being asked to go to a free health screening, and if necessary, a free doctor's consultation. If those screenings show that a person is predisposed to illness due to their weight or other conditions, they will be offered help to begin to address their health issues. Only if workers fail to take advantage of the free screening will they be charged the additional $25.

Alabamans are clearly in need. Varying reports place Alabama with the second or third highest rate of obesity  in the country. The Birmingham News confirms this southern state has the country's highest rate of stroke and third-highest rate of infant mortality.

Americans shouldn't feel ashamed of owning up to their fatness. The war on obesity has gone international. In Argentina, the Senate recently passed an Obesity Law, declaring obesity and eating disorders as diseases eligible for treatment under the state's health-care programs. Meanwhile, Mexico is hard at work pushing "Vamos Por Un Million de Kilos" (Let's Lose a Million Kilos), a national campaign to get Mexicans to cut the country's collective weight by nearly two million pounds. The project is one of several new efforts to prevent Mexico from joining the United States as one of the world's fattest countries.

Of course, governments are not taking these steps out of mere concern. It makes sense for their bottom lines as health costs surge. But what's wrong with bottom-line motivations if it helps people? It may be a financial ultimatum, but it's not a state-mandated diet. It may affect individual choice, but it's being done to prevent an even heavier strain on an already burdened system that must cover many.

We already know that mass denial has resulted in rising obesity rates in both adults and children. Childhood obesity rates have soared—leading pediatricians to begin treating  young patients with hypertension, sleep apnea, diabetes and orthopedic issues. As a nation, we are also pushing our neglectful lifestyles and habits off on our children. What is the point of promising a better life to our kids, if we are setting them up to be physically unable to enjoy it?

African Americans should be particularly concerned: The Center for Disease Control (CDC)  says that nearly half of black women are overweight or obese, and black people overall are 1.4 times more likely to be obese than non-Hispanic whites. Now is not the time to resist efforts to make us healthier. Fat and happy is out. And in Alabama, at least, death and taxes are in, if in reverse order.

Michael Arceneaux is a regular contributor to The Root.
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Thelonious Monk

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« Reply #1 on: October 29, 2008, 01:12:57 PM »

Good idea.
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Susa
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« Reply #2 on: October 29, 2008, 01:21:38 PM »

Being overweight can be just as unhealthy as being under-weight. Just cause someone's skinny doesn't mean they're healthy. Underweight people with eating disorders can have cardiac problems, have sub-optimal BMI, high-blood pressure, etc. The term "fat tax" is misleading.
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« Reply #3 on: October 29, 2008, 02:15:22 PM »

The term is misleading.  The 'tax' is not being applied because of people's physical condition at all--overweight or underweight--it's only applied to those people who aren't going for their health screenings.
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devineone
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« Reply #4 on: October 29, 2008, 02:32:42 PM »

Being overweight can be just as unhealthy as being under-weight. Just cause someone's skinny doesn't mean they're healthy. Underweight people with eating disorders can have cardiac problems, have sub-optimal BMI, high-blood pressure, etc. The term "fat tax" is misleading.
This is true Susa, my father died of a heart attack and he weighed just under 150 lbs and he was 5'11. 

I think in addition to taking a punative approach to punishing people for not going for their health screenings, they could also reinforce positive behavior by offering health plan discounts for people who do things like join a health club, and take a health class.  They could also provide gyms so that people can take advantage of them.  I have a gym at my job and I go.  It would be nice in addition to me reaping health benefits from going to the gym, my organization would recognize that an offer discount incentives.  Each year our premiums go up because insurance companies spread the risk over everyone who is in their plan.  They should consider providing "rewards" to those people who are low risk too.
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Thelonious Monk

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« Reply #5 on: October 29, 2008, 04:20:07 PM »

Americans shouldn't feel ashamed of owning up to their fatness.

Hello everyone, my name is The Shepherd... and I'm fat. LOL!!! What is this, a FA meeting? FA meaning FatAss Anonymous. LOL

Seriously, though, I have gained way too much weight since I got married. I've been married for 9 years and I'm averaging about 5lbs a year. At my mother's birthday party my sister had a slideshow of my mother with her children, grandchildren, siblings, parents etc... And when I saw those pictures of myself before marriage... Shocked I was svelte, toned, lean and mean. My wife commented on how sexy I was in those pictures.

But, now?!!! Damm, too much of this soft "middle-class" living. Too much premium ice cream, gourmet soda, and constant restaurant eating. And no working out in about 3 or 4 years.

So, as one who would qualify for a fat tax, I'm all for it! People need more incentive to maintain good health and a healthy weight.

Quote
They should consider providing "rewards" to those people who are low risk too.

I agree, it has to go both ways, both positive and negative reinforcement. The 'health screenings' criteria don't go far enough.
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« Reply #6 on: October 29, 2008, 07:13:08 PM »

They should consider providing "rewards" to those people who are low risk too.

Most health insurers already do.  A lot of them have plans where if you go to a gym a certain amount of times per quarter, they give you money back.
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« Reply #7 on: January 12, 2009, 07:20:09 PM »

Having just come from the south, GA and 'Bama I have to say that...DAYUM, JUST ABOUT EVERYONE IS FAT!  Especially the women.  The men are big too though.  It's not just the black folks who are big, white folks are too.  I went to this restaurant called Golden Corral while I was there and man, there were some humongous folks up in there eating back!  They have an "All you can eat" nightly buffet cafeteria style.   

I see why companies feel the need to pass a tax of this nature.  Every third person in Ga and 'Bama is obese, not fat but obese to morbidly obese.  They all could be contestants on "The biggest Loser contests".    It struck me pretty hard because while I do see big people in NYC, it's not the same as what I see in the south.  I stood out because I wasn't fat!  I felt when I was walking around and folks were staring at me, it was because I wasn't fat.   I started feeling a bit self-conscious.

When I went around my cousins, (they were all overweight too), and making fun of me because I am 'skinny' by their standards.  I'm nearly 5'6 and weigh 130lbs.  That's average to me.   They kept asking if something was wrong with my health.  They were referring to me as "That lil 'ol thang'.  I started regressing back to childhood when I was called "po thang'.  Embarrassed 

I guess they were saying that to make themselves feel better.  In spite of the fact that I was eating back while on holiday.  I was glad to get up and run in the mornings on the nice sidewalks.  My cousins told me I had gotten too 'citified' and acting like the 'white health nuts do'.

In my areobics class that will start back up next week, I'm the only black person there.  Man, black folks as a whole have got to change their attitude about weight and stop ridiculing those who try to keep theirs in check. 

In the south, obesity is normal and 'in'  while skinny is out.  At least that is how it is in Ga and Al. Two of my cousins had that lapband surgery done and were steadily eating back and one had put on a lot of the weight back that she had lost even after the surgery! Shocked   

I didn't preach health at anyone while they were all mocking me.  I was just listening to them and going on about my business while they were huffing and puffing and pushing themselves off the couch. These were cousins in their 20's and 30's too.  Such a shame.  Undecided

« Last Edit: January 12, 2009, 10:01:05 PM by devineone » Logged

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« Reply #8 on: January 12, 2009, 10:09:49 PM »

Quote
It's not just the black folks who are big, white folks are too.

That's who we got this over eating stuff from. Our people were traditionally lean and fit back home in Africa until they brought us here and we adopted their destructive diet. That slave food (soul food) that we call "good eatin' is killing us.
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devineone
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« Reply #9 on: January 13, 2009, 01:26:56 PM »

Our people were traditionally lean and fit back home in Africa until they brought us here and we adopted their destructive diet. That slave food (soul food) that we call "good eatin' is killing us.
There are several people who are members of my church from African countries.  I've seen the traditional types of foods they bring during our church dinners and they ain't all that healthy either. 
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« Reply #10 on: January 13, 2009, 02:39:10 PM »

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That slave food (soul food) that we call "good eatin' is killing us.

I don't know D6cents... I went to a "soul food" restaurant the other day in NJ called Delta's and it was packed to the hilt with the majority of black folk and a few whites sprinkeled here and there and NONE of them,  I mean not one table in the entire place had an overweight or obese person sitting at the table chowing down.  It was filled with normal everyday black folk coming there to get a delicious meal that would make their lips smack and their stomaches croon.  Perhaps you are right, but I eat soul food regularly and I'm not anywhere near obese and my cholesterol count was so good that my doctor even commented about it when he read my charts... I may fall out dead from a heart attack the next meal... but somehow I don't think it will be because I enjoyed some good ole collard greens, candied yams, mac and cheese, and ribs.  However at the neighborhood Shoprite I regularly see people with baskets loaded up as if they plan to feed the Army and Navy first and second helpings LOl!  trolling up the aisle and they can hardly push their baskets they are so laden... it's loaded up with sugary snacks, potato chips, and diet sodas and no fruit or vegetables at all, so I think that's where our problem lies along with the fast food joints... not really so much the soul food, at least not as I've experienced it.  Now ask me if I'd ever step two feet near a chitlin and the answer would be an adament NO!, but I do enjoy soul food within my allotted servings and don't find it to be any worse than eating Chicken Marsala over pasta, Lasagna, or a Grilled chicken salad which doesn't have any soul.  Grin
« Last Edit: January 13, 2009, 03:11:53 PM by Bambi eyes » Logged

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devineone
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« Reply #11 on: January 13, 2009, 02:47:41 PM »

they can hardly push their baskets... it's loaded up with sugary snacks, potato chips, and diet sodas and no fruit or vegetables at all, so I think that's where our problem lies along with the fast food joints...but I do enjoy soul food within my allotted servings
Now ask me if I'd ever step two feet near a chitlins and the answer would be an adament NO!,
Grin Cheesy  I don't know why I picture Bambi running away from a glob of chitlins chasing her down the street.

You nailed it.  Too much sugar is deadly but people haven't quite grasped that yet and  portion control is key to maintaining a healthy weight.  Supersize me has really supersized people.  

I remember my time in Japan.  I was there for nearly 2 months and in all that time I may have seen 4 pleasingly plump people and I was in 3 different cities.  They don't have supersize there.  No such thing as family size.  I remember ordering fries once from Wendy's because I was craving some and I asked for a small and got about 8 fries.  Their small is considered child sized here and their large is considered regular sized here.  But our portion sizes are so out of wack that I don't even know what a large size is anymore because everything is supersized now.  Still they do eat a lot of miso soup and that is salty so they do have high blood pressure problems but not on the scale that we have in the states.
« Last Edit: January 13, 2009, 04:29:51 PM by devineone » Logged

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« Reply #12 on: January 13, 2009, 03:20:18 PM »

Quote
   I don't know why I picture Bambi running away from a glob of chitlins chasing her down the street.

Two things that will never pass my lips during this life... a chitlin and cow tongue.  Bleh... just thinking about them has killed my appetite for the next two days.  Some people are in heaven with a plate of chitlins and some hot sauce... that would be my hell.   Cheesy

But back to the subject of Fat Tax... I'm all for it, anything that will help make people get out of their fat misery is cool with me, I'd fully support it.
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« Reply #13 on: January 13, 2009, 11:13:19 PM »

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I don't know D6cents... I went to a "soul food" restaurant the other day in NJ called Delta's and it was packed to the hilt with the majority of black folk and a few whites sprinkeled here and there and NONE of them,  I mean not one table in the entire place had an overweight or obese person sitting at the table chowing down.  It was filled with normal everyday black folk coming there to get a delicious meal that would make their lips smack and their stomaches croon.

I know Delta's in New Brunswick (NB) and have been there at least a dozen times. Believe me, it aint filled with "normal everyday black folk". More like educated professional black folk and their white counterparts. The area of NB that Delta's is in more ritzy and upscale. So you don't find the normal soul/slave food eating black folk. In fact, the whole soul food scene has been watered down at Deltas, from the food to the white waitress here and there, for the white folks who are known to frequent there. Roll Eyes Sorry I have a thing against white folks working in soul food restaurants.

Anyway, you want to go to a REAL slave, I mean soul food joint check out Freshwaters in Plainfield. That's where you'll see our people wearing the food around their hips, stomachs and butt  : Wink Hence, why we have the highest rate of obesity in the country. Hey I can look at MY family and prove it to you. All of the women are overweight and getting bigger thanks to the 8 piece dessert table at thanksgiving and other holidays.

Quote
Perhaps you are right, but I eat soul food regularly and I'm not anywhere near obese and my cholesterol count was so good that my doctor even commented about it when he read my charts.

Let's keep in mind that being healthy isn't just about weight and obesity. Or even cholesterol. There's still the issue of chemicals, toxins and hormones in the food and meat we eat and the air we breathe. So the western approach Doctors take to our health is insufficient. She can give someone a clean bill of health one year and tell him that he has cancer or kidney failure the next. Of course that's when she gets to make extra money by writing prescriptions for certain drugs the pharmaceutical company paid her to recommend (I worked in the Pharm. industry for 7 years. What they do to push their legal street drugs onto the american public should be illegal).

Who here has heard their doctor recommend a diet rich in organic fruits and veggies?
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« Reply #14 on: January 13, 2009, 11:18:14 PM »

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There are several people who are members of my church from African countries.  I've seen the traditional types of foods they bring during our church dinners and they ain't all that healthy either.

The traditional types of food Continental Africans and African immigrants eat today is far from what I'm referring to. Although it still tends to be healthier than what we eat here. Remember I mentioned our diets before our Ancestors were brought here in chains. What we're seeing African's eat today throughout the diaspora (the Americas, etc.) is more western influenced and therefore more destructive.
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