Max Pemberton

Obesity is not a disease

Pretending otherwise will stoke an epidemic and crush the NHS

‘Well, what diets have you tried so far?’ asked the GP, flicking through the patient’s notes. I was an innocent trainee doctor on my general practice placement at the time and watched the interaction carefully, sensing a row was about to ensue. ‘Look, I don’t want to go on a diet, I want you to prescribe me these,’ snapped the patient, bringing out a neatly folded page she had torn out of a magazine. The GP, rolling his eyes at me, took the paper but didn’t read it. I suspected he’d read it before. This was yet another example of what’s becoming a very British epidemic: obesity being self-diagnosed as disease.

The doctor attempted to explain that tablets really aren’t suitable in her case. As well as having some potentially nasty side effects, they’re expensive to prescribe, and don’t offer a long-term solution. This was clearly not what the woman wanted to hear. ‘Fine then, don’t help me, see if I care. I’ll get my sister to get them off her GP — he gives her whatever she wants’; and she stormed out. It struck me as bizarre that while some people using the NHS are dangerously malnourished, other people are desperate to take tablets to ensure that their food passes through their body unabsorbed, while the taxpayer foots the bill.

It happens all the time. The patients who are not interested in changing their diet in any way, demanding to have their cake, eat it and then pop a pill so that the calories never touch their waistline. And as a result, Britain now combines austerity with obesity. The majority of us are now overweight or obese — a third of children are considered too heavy. It costs an extra £5 billion a year, and 300 hospital admissions a day are directly due to obesity.

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