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Advanced Mediterranean Diet » Economics

Archive for the ‘Economics’ Category

Medical Costs of Obesity, Yearly, Per Person: $1,723

Wednesday, January 6th, 2010

The direct yearly medical cost of being obese in the U.S. is $1,723 per obese person, according to a just-released report in Obesity Reviews.  Being overweight is a relative bargain at $266.

These numbers translate into $114 billion yearly, or five to 10 percent of total healthcare spending.

Not included in the numbers are costs such as lost productivity due to obesity-related illness and replacement or repair of items that wear out or break due to excessive amounts of physical stress.  Not to mention pain and suffering.

Are you overweight or obese?  Find out with an online body mass index calculator

Want to do anything about it?  See my “Prepare for Weight Loss” series.

Steve Parker, M.D.

Reference:  Tsai, A.G., et al.  Direct Medical Cost of Obesity in the U.S.A.  Obesity Reviews, online January 6, 2009.  doi: 10.1111/j.1467-789x.2009.00708.x

Medical Cost of Obesity Soars

Sunday, August 2nd, 2009

A report released last week found that obese individuals in the U.S. spend an extra $1,429 yearly on healthcare compared to normal-weight people.  Furthermore, total U.S. cost of treating obesity-related conditions was $147 billion in 2008.

Unsure if you’re overweight or obese?  Find out with one of the body mass index calculators available on the Internet.

Are you obese and fed up with the extra expense?  Are you already suffering from overweight-related medical conditions?  If so, read my document on how to prepare for weight loss, then get started soon. 

Well-begun is half done.

Steve Parker, M.D.

Author of The Advanced Mediterranean Diet and the Diabetic Mediterranean Diet Blog

Reference:  Finkelstein, E.A., et al.  Annual medical spending attributable to obesity: Payer and service-specific estimatesHealth Affairs, 28 (2009): w822-w831.

Thank You, Bryan Nugent and Banner Health System

Sunday, May 24th, 2009

Bryan Nugent, librarian at Banner Baywood Medical Center (Mesa, Arizona), makes my job much easier and affordable.  Bryan acquires medical journal articles for me, which I use in direct patient care as well as fodder for blog posts.

Individual journal articles would cost me $15-35 (US).  Regular visitors here know I read lots of journal articles; I could easily spend $4000 a year in subscriptions to medical and nutrition journals pertinent to my medical practice.

Thanks, also, to Banner Health System for providing this service at their expense.  Banner supports its medical staff by providing up-to-date journal articles, which helps us provide better medical care.

Steve Parker, M.D.

Quote of the Day

Friday, February 13th, 2009
Owners of capital will stimulate the working class to buy more and more of expensive goods, houses and mechanical products, pushing them to take more and more expensive credits, until their  debt becomes unbearable. The unpaid debt will  lead to bankruptcy of banks, which will have to be  nationalised, and the State will have to take the road which will eventually lead to  communism. 

                                                -Karl Marx, in Das Kapital, 1867

I read this at SpokeUp.com today, thanks to Han Mfn’ Solo.  I can’t seem to find my copy of Das Kapital, to verify the quote.  And I couldn’t find the quote at Google Book Search.  [I’m always alert for Internet hoaxes.]

If true, the quote is a chilling reminder of what’s happening in the U.S. economy and Washington, D.C. now.

What’s this got to do with weight loss, health, and longevity?  Just imagine what would happen to your health and longevity under communism.  It ain’t good.  But most of us would lose weight!

Steve Parker, M.D.

Additional Resources:  The Gulag Archipelago by Aleksandr Solzhenitsyn.  [If you don’t think Man has the capacity to commit pure evil, this book will convince you otherwise.]

Is Organic Food Worth The Cost?

Saturday, October 11th, 2008

The American Council on Science and Health recently published a skeptical article on organic food benefits.

I’m neither endorsing nor repudiating their positions, but they are certainly worth serious consideration.

With the looming global financial “crisis,” the organic food industry is in for a rough time since “organic” food is significantly more expensive than regular food.

Caveat emptor, baby.

Steve Parker, M.D.

How Much Does That Diet Cost?

Saturday, July 26th, 2008

I’ve been wondering how U.S. food price inflation and the sky-rocketing cost of gasoline might affect people who are on various diets.  Food spending is somewhat discretionary.  Sure, you have to eat.  But you can choose filet mignon versus beans and rice.  You can fix it yourself or pay someone else to do it.  The same applies to dieting.  Fix food yourself, or buy MREs (meals-ready-to-eat).  You can pay a lot or a little.  And high cost does not always equal high quality.

Forbes magazine ran a good article on January 2, 2008, by Rebecca Ruiz, “How Expensive Is Your Diet?”

Ms. Ruiz evaluated the first-week costs of seven popular weight-loss diets.  She rightly notes that the first week’s cost typically requires the greatest financial investment.  For example, you may have to buy a spice or condiment that you don’t normally have on hand, but it may last you for months.  Her calculation of total costs also include the price of a book or other training materials, membership, and, in the case of the detox diet, a juicer.  Subsequent weeks of the diets are expected to cost substantially less.  Buying the various ingredients for two dozen distinct meals adds up.  Following a single week of the Abs Diet required more than 75 ingedients, while the Weight Watcher’s Flex Plan required more than 100.

Here is what Ms. Ruiz found as the cost of these popular diets for one person, for the first week (in U.S. dollars):

How do these numbers compare with what you normally spend on food?  Only you would know, but many don’t.  The Forbes article says a weekly household grocery bill likely averages about $111, not including alcohol and fast food items.  The U.S. Census Bureau 2008 Statistical Abstract notes that there are 2.57 persons per household (in 2006).  So the average person spends $43 a week on groceries.  [OK, I admit these numbers are already outdated.]  Melinda Fulmer, in a recent article she wrote for MSN Money, notes that the average family of four (two adults and two young children in her case) spends $182 per week for food.  That’s $45 per person.

Nearly all effective weight-loss diets involve caloric restriction of some degree: you eat less than usual.  Wouldn’t you think you’d be spending less than usual on food?

Dr. George Blackburn, Associate Director of the Division of Nutrition at Harvard Medical School, told Ruiz that ”expecting an average consumer to consistently venture beyond their favorite meals or food can be cost prohibitive while also inviting failure.”  Dr. Blackburn said, “We have our golden oldies…You can’t re-engineer these things.  There are three or four favorites, and that’s how you eat most of your meals.”  In my experience people usually have eight to 12 favorite meals that become customary for them.

Ruiz writes that ”Dr. Blackburn advocates developing a familiarity with cooking and meal preparation so that a dieter isn’t reliant on cookbooks, ready-made entrees or what some might call gimmicks.”

Many of the popular diets tell you exactly what you will be eating for the next two to six weeks.  Whatever that is, it’s unlikely to be one of your golden oldies.  One of the great things about the Advanced Mediterranean Diet ($17.95) is that it doesn’t tell you exactly what and when to eat.  You get an extensive list of recommended foods available at your local grocery store, then you decide what to eat, and when.  For example, if one of your golden oldies is pancakes for breakfast, you eat pancakes, but now made with whole wheat flour.  You like sandwiches?  You got sandwiches.   Steak?  Salads?  Yes, those, too.

Forbes magazine is a fascinating financial/lifestyle periodical.  Pick up any copy when you get a chance.  It will be hard to put down, and you’ll learn something useful.

Steve Parker, M.D.

Does Obesity Affect Earnings?

Monday, February 18th, 2008

Obesity is a well-known cause of adverse health effects, even premature death.  Much less is known about the effect of obesity on income.  I found only one evidence-based study on the issue.  The journal article is dry and difficult reading unless you are an economist.

Obesity is defined as a body mass index over 30.  For a person 5-feet, 4-inches tall, a BMI of 30 translates to 174 pounds.  For a person 5-feet, 10-inches tall, a BMI of 30 is 208 pounds.

Baum and Ford at Middle Tennessee State University analyzed data in the National Longitudinal Study of Youth (12,686 survey respondents).  They found that “both men and women experience a persistent obesity wage penalty over the first two decades of their careers.”  The degree of this penalty is in the range of 0.7 to 6.3%.  In other words, the wages of obese people were lower than other workers, and this effect is more pronounced for women than for men.  As best I can tell, obese women earned about 4% less, and obese men about 2% less on a yearly basis.

Although these percentages are relatively small, I expect the wage differential over the course of a career would be quite impressive due to compounding.  Unfortunately, the authors do not run the numbers for us.  Nor do they have firm explanations as to why obese people earn less.

In 1981, survey respondents had an average weight of 145 pounds.  By 1998, average weight had increased to 175.

If health concerns are not sufficient motivation to keep body mass index under 30, we now have an economic reason.

Steve Parker, M.D., author of The Advanced Mediterranean Diet: Lose Weight, Feel Better, Live Longer    www.AdvancedMediterraneanDiet.com

Reference: Baum, Charles L. and Ford, William F.  The wage effects of obesity: a longitudinal study.  Health Economics, 13 (2004): 885-899.


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