Oct. 16 - Oct. 23, 2003 Issue
2008-03-31 19:30:17Rona P. Scott
2251 Highland Avenue South
#1006
Birmingham, Alabama 35205
October 20, 2003
Editor@...
To Whom It May Concern:
I am writing regarding your article âMs. Fatso? The big deal about being
obeseâ. The only way I can think to begin is by addressing the title âMs.
Fatsoâ. If this article were about social issues involving African Americans
would it have been titled Ms. Ni****? (a term so appalling and demeaning I
cannot even bring myself to type it here for the sake of reference). If the
article were about an amputee would it have been titled âMs. Stumpyâ? Or
how about Ms. Psycho or Ms. Dope Head or Ms. Lesbo? I seriously doubt you would
have used these titles yet, for reasons Iâll never understand, it is still
socially acceptable to humiliate and demean the obese. Perhaps the biggest
irony of your hideous cover is the fact that the article is one urging public
acceptance of the obese. Possibly if you stop and seriously consider the
article and your cover you will see exactly why society does not embrace the
obese.
Next I would like to address the 2nd part of the titleâ¦.âThe big deal
about being obeseâ. Your article gives some statistical data regarding
obesity and bemoans the fact that many insurance companies will not pay for
gastric bypass surgery. However, if the individuals who make critical decisions
for insurance companies regarding obesity surgery suffer from the same narrow
mindedness that your publication does then why in the world would they pay for
it? How can an article with Ms. Fatso on the cover give a second thought to the
fact that we must purchase our clothing at a place called Dress Barn? Being
forced to shop at a place called Dress Barn is NOTHING in comparison to being
represented by Ms. Fatsoâs purposely degrading photos. Oh, and back to the
big deal about being obeseâ¦..let me give you a few more statistics, with
sources cited,â¦â¦.. (I urge you, if you feel that you are a responsible
journalist to read ALL THE WAY TO THE END OF THIS EMAIL)
Obesity is the most neglected public health crisis of the 21st Century. It is
neglected not because many health leaders in both the public and private sector
do not understand the importance of obesity, but because it receives a miniscule
amount of attention and policy development at the federal, state or local level.
Obesity is second only to tobacco as the leading cause of preventable death in
the United States. More than 300,000 people die each year as a direct result of
obesity. The costs of treating adults with obesity are over $238 billion a
year, making it one of the most expensive diseases in the country.
The all-cause mortality rate for individuals with obesity, particularly with
cardiovascular disease, is 50% to 100% greater than for normal weight
individuals. (National Heart, Lung, and Blood Institute. Clinical Guidelines on
the Identification, Evaluation, and Treatment of Obesity in Adults: The Evidence
Report. NHLBI Obesity Education Initiative Expert Panel on the Identification,
Evaluation, and Treatment of Obesity in Adults. Washington, DC: U.S. Department
of Health and Human Services, 1998)
In 1997 2,314,245 people died in the United States. 13% of all these deaths
were related to or the direct result of obesity. (American Obesity Association
â http://www.obesity.org)
Q:What is the cost of heart disease related to overweight and obesity?
A: Direct cost related to overweight and obesity: $6.99 billion (17 percent of
the $40.4 billion total direct cost of heart disease, independent of stroke).
Q: What is the cost of type 2 diabetes related to overweight and obesity?
A: Total cost related to overweight and obesity: $63.14 billion (more than 60
percent of the total cost of type 2 diabetes)
Direct cost: $32.4 billion
Indirect cost: $30.74 billion
Q: What is the cost of osteoarthritis related to overweight and obesity?
A: Total cost related to overweight and obesity: $17.2 billion
Direct cost: $4.3 billion
Indirect cost: $12.9 billion
Q: What is the cost of hypertension (high blood pressure) related to overweight
and obesity?
A: Direct cost related to overweight and obesity: $3.23 billion (17 percent of
the total cost of hypertension)
Q: What is the cost of cancer related to overweight and obesity?
A: Post-menopausal breast cancer
Total cost related to overweight and obesity: $2.32 billion
Direct cost: $840 million
Indirect cost: $1.48 billion
Endometrial cancer
Total cost related to overweight and obesity: $790 million
Direct cost: $286 million
Indirect cost: $504 million
Colon cancer
Total cost related to overweight and obesity: $2.78 billion
Direct cost: $1 billion
Indirect cost: $1.78 billion
Q: What is the cost of lost productivity related to obesity?
A: The cost of lost productivity related to obesity (BMI 30) among Americans
ages 17-64 is $3.93 billion. This value considers the following annual numbers
(for 1994):
Workdays lost related to obesity: 39.3 million
Physician office visits related to obesity: 62.7 million
Restricted activity days related to obesity: 239.0 million
Bed-days related to obesity: 89.5 million
(http://default.healthmobius.com/wms/understanding/statistics.asp)
According to the National Institutes of Health, 55% or 97 million adults in the
United States are overweight or obese. At least 33% (58 million) of adults are
considered overweight (BMI of 25.0 - 29.9), and 22% (39 million) are obese (BMI
increased dramatically, and has since shown no sign of improvement.
Approximately 25% of children and adolescents are overweight, a figure which has
doubled in 30 years. (Troiano, R.P. and Flegal, K.M. Overweight Children and
Adolescents: Description, Epidemiology, and Demographics. Pediatrics
101(3):497-504, 1998.)
Persons with obesity are at risk of developing one or more serious medical
conditions. Obesity is associated with more than 30 medical conditions. Strong
relationships have been scientifically established between obesity and at least
15 conditions, including arthritis, breast cancer, heart disease, colorectal
cancer, type 2 diabetes, endometrial cancer, end-stage renal disease, galbladder
disease, hypertension, liver disease, low back pain, renal cell cancer,
obstructive sleep apnea, stroke, and urinary incontinence.
(Press Release. HHH News â DHHS, New Report Documents Improvement in
Americansâ Health. U.S. Department of Health and Human Services,
Washington, DC, June 10, 1999.
National Heart, Lung, and Blood Institute. Clinical Guidelines on the
Identification, Evaluation, and Treatment of Obesity in Adults: The Evidence
Report. NHLBI Obesity Education Initiative Expert Panel on Health and Human
Services, 1998.
Shape Up America! and American Obesity Association, Guidance for Treatment of
Adult Obesity, 1998.
AACE/ACE Obesity Task Force. Position Statement on the Prevention, Diagnosis and
Treatment of Obesity [online]. The American Association of Clinical
Endocrinologists and The American College of Endocrinology, 1998 revision.
Available at http://www.aace.com/clinguideindex.htm)
Obesity rose 6 percent nationally between 1998 and 1999, and the increase
affected all regions and demographic groups and most states in the United
States.
Since 1991, obesity among adults has increased by nearly 60 percent nationally.
Individuals 30-39 years of age had a 10 percent increase in obesity between 1998
and 1999. Diabetes in this same age group increased by 70 percent in the 1990s.
Obese individuals have a 50-100 percent increased risk of death from all causes,
compared with normal-weight individuals. Most of the increased risk is due to
cardiovascular causes (National Heart Lung and Blood Institute 1998).
(http://www.peanut-institute.org/Obesity_Stats_PR.html â According to CDC)
Poor diet and inactivity, contributors of obesity, are responsible for between
300,000 and 587,000 deaths a year, making it the second leading cause of
preventable death in the U.S. (McGinnis, J.M. and Foege, W.H. Actual causes of
death in the United States. Journal of the American Medical Association
270:2207-2212, 1993.)
Cancer - There are numerous epidemiological studies of obesity and
site-specific malignancies, one of the largest of which is the American Cancer
Society (ACS) Study involving more than 1 million men and women. Through the
last followup year (1972), 93 percent of the subjects were traced (alive or
dead). Obese males, regardless of smoking habits, had a higher mortality from
cancer of the colon, rectum, and prostate. Obese females had a higher mortality
from cancer of the gallbladder, biliary passages, breast (postmenopausal),
uterus (including both cervix and endometrium), and ovaries. In the case of
endometrial cancer, women with marked obesity showed the highest relative risk
(5.4) for the obese versus the nonobese. (Health Implications of Obesity. NIH
Consens Statement Online 1985 Feb 11-13 [cited year month day]; 5(9):1-7.)
A 1992 N.I.H. (National Institute of Health) Assessment shows that 95% to 98% of
people who lose weight by conventional methods regain it in less than 5 years.
And that, in a nutshell, is the BIG deal about being obese. How dare you use
Ms. Fatso to minimize and belittle this overwhelming health crisis our nation is
facing. Possibly you could explain Ms. Fatsoâs presence on your cover to the
families of the 300,000 to 587,000 people who DIE as a direct result of obesity.
Perhaps you could explain to my friend Johnâs two young sonâs who wept at
his casket after he perished as a direct result of obesity that itâs socially
acceptable to make fun of people like their father. Perhaps you could explain
to me, a former Ms. Fatso, why publications like yours continue to break my
heart without hesitation.
For twenty years I was morbidly obese. I was an observer in my life rather than
a participator. I was fortunate enough to be able to have gastric bypass
surgery and regain my life and my self esteem. However, at my highest weight I
was NEVER Ms. Fatso. I ALWAYS had pride in my appearance. What you need to
understand is that FAT does not equal STUPID! I have dedicated my life to
helping other obese individuals reclaim their health and well being. I have
also dedicated my life to stopping publications like yours from embarrassing and
humiliating 55% of the American population. I work full time with gastric
bypass patients, host two large gastric bypass support groups and teach
sensitivity training to health care providers to ensure that it is NEVER
necessary for an obese person to have to check their dignity at the door. I am
on the editorial advisory board of a national surgical weight loss magazine and
a published author. While I appreciate national organizations that promote
âfat acceptanceâ I prefer to promote social acceptance of the obese without
glamorizing it. It is grossly unhealthy to be obese. Your article states that
a family doctor suggested to the author, as a 200 pound woman, that she not
âobsessâ about losing weight before getting pregnant. As a 200 pound,
5â6â woman the author is 2.5 times more likely to DIE than a woman of normal
weight. This isnât a joking matter!
I have passed on your publication to all members of our support groups and asked
them to write you. I am also considering passing it along to national groups
though I donât necessarily want to promote your publication considering that
publicity is publicity whether itâs negative or positive.
I am calling for an apology ON THE FIRST OR SECOND PAGE of the next issue of
your publication. A one inch square on the last page wonât get it. Further,
I am challenging you to contact me and let me write an article for your
publication. I will be happy to provide you with my previous publications and
my resume. You were willing to humiliate an entire segment of Birminghamâs
population. Now you have the opportunity to show what youâre really made of
and do the right thing by allowing a more realistic, less biased story with a
dignified cover photo. What do you say?
Regretfully yours,
Ms. NotsoFatso
Rona P. Scott
2251 Highland Avenue South (yes âIâm your upstairs neighbor)
#1006
Birmingham, Alabama 35205