Live data from Hacker News

Many people living in the 'Diabetes Belt' are plagued with medical debt

text.npr.org

41–50 of 127 posts

Re: Many people living in the 'Diabetes Belt' are plagued with medical debt

#41

Earlier quoted context omitted.

Industry can also steer demand via advertising.

[flagged]

Global advertising spending is around $750 billion. Assuming advertisers believe most of their money is well-spent, can I infer the percentage of human beings that actually do ignore advertising is small?

Re: Many people living in the 'Diabetes Belt' are plagued with medical debt

#42

Earlier quoted context omitted.

Most health insurance doesn't cover weight loss treatment without a condition like T2D, heart issues, etc. If you're fat enough that it's damaging your health you're extremely unlikely to be able to lose it without significant support through medicine, nutritionists, etc.

Losing weight doesn't cost money.

No, it just requires constantly feeling hunger pains. Along with bouts of lightheadedness, distraction, and things of that nature.

There are a variety of reasons people get fat, and a variety of reasons people stay fat. Treating the specific reasons for the specific people is a lot safer, and easier, than just having people eat less.

For me, I'm a stress eater. I need more money, and better credentials, and then I can get career tracked in a way that will reduce my stress enough to eat better.

Exercise does help, and I should be doing more. I exercise best (most consistently) with machines, but don't have the cash flow for a gym membership anymore. I also exercised great with rollerblading, but the serious accidents I had doing that make it a bad idea without an indoor rink, and the nearest indoor rink is both expensive and a ways away. I have to drive to work, so I try parking about a 10 minute walk away and walking uphill. It's something, at least.

Re: Many people living in the 'Diabetes Belt' are plagued with medical debt

#43
post #8

Earlier quoted context omitted.

> This is as much a cultural problem as a financial one. I live in one of these Diabetes Belt counties. I'd like to add another aspect to the "cultural problem", which is that the median person here eats absolutely horrendously and doesn't exercise at all. > we'd rather give you bad food I'd like to believe that people have the agency of choosing what they eat.

Broccoli, right now after reading this, I'm choosing broccoli.

That's 50 Calories in a serving. What are you having for the other (let's say) 1950 Calories?

Re: Many people living in the 'Diabetes Belt' are plagued with medical debt

#44

Earlier quoted context omitted.

If you're that fat you're statistically unlikely to lose weight without medical intervention of some sort, even something as basic as talking to a fucking nutritionist about portion sizes.

[flagged]

Statistically, if a person is so obese for so long they get T2D, they are not going to go into remission just from googling weight loss or following whatever they find on the internet (doubly so if they fall into some crank Liver King style nonsense). That's just the facts. It's been studied over and over again for many years at this point.

Re: Many people living in the 'Diabetes Belt' are plagued with medical debt

#45

Earlier quoted context omitted.

Losing weight doesn't cost money.

If you're that fat you're statistically unlikely to lose weight without medical intervention of some sort, even something as basic as talking to a fucking nutritionist about portion sizes.

I sympathize with how hard it is to lose weight, but at some point personal responsibility kicks in right?

Re: Many people living in the 'Diabetes Belt' are plagued with medical debt

#47
In North Carolina, before Uber and stuff like that, there was this driver a few of us knew and would call to taxi us around. He was a skinny fellow but through the years we knew him, he'd tell us about how he keeps telling his brothers not to eat as much because they're going to get in trouble and how he was a fat dude but managed to lose weight.

No happy ending. One of the brothers died just before I moved away, of an obesity and diabetes related illness.

Interesting tale. Mostly a question of junk food and portion sizes.

Re: Many people living in the 'Diabetes Belt' are plagued with medical debt

#48
post #7

Related: ProPublica investigation on doctors performing unnecessary amputations on poor black diabetes patients, because they don't pay enough attention to the patients and also get paid more to amputate. https://features.propublica.org/diabetes-amputations/black-a... Another link if you are skeptical there is a racial issue: page 12 of https://data.dartmouthatlas.org/downloads/reports/Diabetes_r... . Among Medicare…

Frontline did an episode a while back were dentists were performing unnecessary major dental work on poor people when the government had a program to pay the dentists for such work. Frontline was outraged at the dentists, but did not seem to recognize that this is the inevitable result of incentives the government set up.

Re: Many people living in the 'Diabetes Belt' are plagued with medical debt

#49
post #8

This is as much a cultural problem as a financial one. Somehow we've convinced ourselves that in spite of the fact that we can afford to provide everyone with good food and access to medical care, that we'd rather give you bad food which causes health care issues and then treat those because it contributes to GDP.

> This is as much a cultural problem as a financial one. I live in one of these Diabetes Belt counties. I'd like to add another aspect to the "cultural problem", which is that the median person here eats absolutely horrendously and doesn't exercise at all. > we'd rather give you bad food I'd like to believe that people have the agency of choosing what they eat.

Is the median person there dumber than the median person in the rest of the world?

Or are they eating shit, because eating shit is the path of least resistance, and median person travels down the path of least resistance, and if you set up your society such that the path of least resistance results in horrible outcomes, you're going to get horrible outcomes?

Re: Many people living in the 'Diabetes Belt' are plagued with medical debt

#50
post #33

Earlier quoted context omitted.

[flagged]

Safety belts and airbags are mediocre solutions, too, but that doesn’t imply you shouldn’t have them, even if you are a very careful driver. Also, like with drivers and car accidents, there are people who happen to get type 2 diabetes even though they do what they can to avoid it.

T2D doesn't arise from a moment of bad luck or inattention. T2D arises from a long stream of sub-optimal choices and ignored warning signs. I am not here to argue for or against socialized medicine. I am here to tell people that they should fix the actual problem instead of opting for the quick fix. I encountered this problem a couple years ago. If I trusted those damn doctors, I'd be stuck, sticking myself several times a day, and keeping an eye on my insulin supply, but I didn't, so I'm not.
Post reply on HN