Live data from Hacker News

Our main problem in health policy is overemphasis on medicine (2007)

cato-unbound.org

61–70 of 90 posts

Re: Our main problem in health policy is overemphasis on medicine (2007)

#62

Earlier quoted context omitted.

> and this is someone working in the medical field Well, yes, even a crackpot can claim to be working in the field. This in no way supports your claim of “routine” cures through diet. There is no evidence that a fucking keto diet will cure cancer* and it doesn’t pass any sniff test as at the end of the day your body still runs on glucose. This is pretty much an insult to anyone not fortunate enough for their cancer t…

Also, re: this caricature you make of these "keto" diet cancer plans, it's not true that the "body still runs on glucose", in fact only 25 grams of glucose are manufactured by the liver per day in the absence of dietary carbohydrates. And I don't claim to know the mechanisms, but I know FOR SURE that human beings (and no other animal for that matter) evolved to live on candy bars and sugar water, and that replacing o…

[deleted]

Re: Our main problem in health policy is overemphasis on medicine (2007)

#63
post #22

Earlier quoted context omitted.

Diet and exercise will work much better to prevent obesity than any medicine on market. It is just that long-term adherence to these things is very much determined by culture and will be much harder for Americans compared to Japanese, for example. There are new discoveries in diabetes medicines recently but again, you will do much better by not getting diabetes in the first place. The same goes for smoking which can…

Not "diet and exercise", just diet. Exercise doesn't contribute more than ~10% to weight loss (it helps for many other things but not that) - and if you're having trouble with the diet then it makes it more difficult because you get hungry, which sometimes cancels the entire thing out.

IME exercise (combined with appropriate diet, mind you), actually reduces food intake for me. Or at least, makes it so I eat less net calories after removing the expenditure. But otherwise agreed, diet is the foundation.

Re: Our main problem in health policy is overemphasis on medicine (2007)

#64

Earlier quoted context omitted.

Lol "sometimes is enough, sometimes not" is a bit of a backpedal from definitively putting cancer into remission. If it's an area of legitimate research for cancer treatment, then why do you lead with a reference to an individual crackpot - instead of even a poorly designed peer-reviewed study in a low impact forum. Of the millions of possibilities, why do you assume that it was the keto diet of this individual that…

I was referring to epilepsy. I will not get into further arguments with you re: the "crackpot", insult. Have a nice day.

[deleted]

Re: Our main problem in health policy is overemphasis on medicine (2007)

#65
post #22

Earlier quoted context omitted.

Diet and exercise will work much better to prevent obesity than any medicine on market. It is just that long-term adherence to these things is very much determined by culture and will be much harder for Americans compared to Japanese, for example. There are new discoveries in diabetes medicines recently but again, you will do much better by not getting diabetes in the first place. The same goes for smoking which can…

I mean, it's not complicated, when we allowed the tobacco industry to manipulate people for profits while hiding the disastrous health consequence of their products, people got ill in larger numbers It's the same for the processed food industry. It's time will come, soon, too, as healthcare systems everywhere are failing because of it.

all the nutrition info is on the labels yet people knowingly overeat. different type of problem.

Re: Our main problem in health policy is overemphasis on medicine (2007)

#66

Earlier quoted context omitted.

I mean, it's not complicated, when we allowed the tobacco industry to manipulate people for profits while hiding the disastrous health consequence of their products, people got ill in larger numbers It's the same for the processed food industry. It's time will come, soon, too, as healthcare systems everywhere are failing because of it.

all the nutrition info is on the labels yet people knowingly overeat. different type of problem.

I don't think people think much beyond calories wrt to overeating. I know my mentality was once "calories can come from anywhere, can always take a multivitamin to cover deficiencies", which I now find, to put it gently, silly.

Re: Our main problem in health policy is overemphasis on medicine (2007)

#67
post #22

Earlier quoted context omitted.

Diet and exercise will work much better to prevent obesity than any medicine on market. It is just that long-term adherence to these things is very much determined by culture and will be much harder for Americans compared to Japanese, for example. There are new discoveries in diabetes medicines recently but again, you will do much better by not getting diabetes in the first place. The same goes for smoking which can…

Not "diet and exercise", just diet. Exercise doesn't contribute more than ~10% to weight loss (it helps for many other things but not that) - and if you're having trouble with the diet then it makes it more difficult because you get hungry, which sometimes cancels the entire thing out.

Well, the idea is probably not to gain weight in the first place. Once you gain weight it is very hard to lose it. Many people manage naturally to keep perfect BMI by eating healthy diet and having enough exercise or by just moving around. Exercise will have more health benefits than just keeping your body weight low.

Re: Our main problem in health policy is overemphasis on medicine (2007)

#68

Earlier quoted context omitted.

> Most obese people find it extremely hard to stop being obese and often fail despite immense effort. I used to help out at a slimming group. Like many self-improvement quests, the effort waxes and wanes. Much as I wished for people to achieve their dream of being slimmer, and even though their wishes and often their attempts were laudable, I wouldn't call them "immense". They're people, most wanted an easy fix and s…

This. It's not hard to make the necessary changes if sufficiently motivated. In fact, formulating the motivation is kind of the only step, everybody, and I mean *EVERYBODY* can achieve appropriate weight and even above-average fitness if following the right precepts.

I'd rather reshape the environment we all live in. And yes I mean soda bans and the like.

Re: Our main problem in health policy is overemphasis on medicine (2007)

#69

Earlier quoted context omitted.

> and this is someone working in the medical field Well, yes, even a crackpot can claim to be working in the field. This in no way supports your claim of “routine” cures through diet. There is no evidence that a fucking keto diet will cure cancer* and it doesn’t pass any sniff test as at the end of the day your body still runs on glucose. This is pretty much an insult to anyone not fortunate enough for their cancer t…

Also, re: this caricature you make of these "keto" diet cancer plans, it's not true that the "body still runs on glucose", in fact only 25 grams of glucose are manufactured by the liver per day in the absence of dietary carbohydrates. And I don't claim to know the mechanisms, but I know FOR SURE that human beings (and no other animal for that matter) evolved to live on candy bars and sugar water, and that replacing o…

To elaborate: red blood cells are the only part of the body that absolutely must use glucose, and they're not incredibly metabolically active.

Re: Our main problem in health policy is overemphasis on medicine (2007)

#70

Earlier quoted context omitted.

> Most obese people find it extremely hard to stop being obese and often fail despite immense effort. Calories in vs calories out. Simple as that.

Ok, how does that explain why some people want to eat even when they're full, while others feel full after eating a grape (exaggerating)?

It doesn't.

Weight is a direct results of the calorie equation.

Appetite is regulated by a bunch of different factors. Actually, when you think about it, someone could live just fine being constantly hungry (so completely broken appetite signals) in a food scarce environment.

Post reply on HN