An article in the New York Times: Young, Obese and in Surgery has really started to make me think about the ways our tax dollars are spent on healthcare. We are allowing our children to be subjected to risky surgeries and forcing them to make decisions that they are truly too young to realize the full implications of. This article has also has increased my awareness on how we are always looking for a quick fix to lifelong problems.
No Magic Bullet
Well, there is this magic bullet, but that’s an entirely different rant for another blog post another day.
But there is no magic bullet for being overweight. There is no quick fix for obesity. No magic procedure. No easy way out. The road to healthy living at an ideal weight is a long and arduous one that takes hard work and commitment, and unfortunately we are lazy.
In matters of weight loss surgery, the statistics for regaining the weight are staggering. My very own father had a gastric bypass, lost over 200lbs, and gained most of it back. How and why? He never addressed the emotional factors that originally made him overweight and he slowly stretched his stomach out to it’s pre-surgery size.
Weight loss and maintenance requires constant work and a complete lifestyle change.
Bariatric surgeries (which include the lap band that this teenager underwent, as well other various procedures) do not address the underlying problems that have caused teenagers and others become and stay overweight to begin with. The psychological and emotional factors that contribute to being overweight need to be addressed before over $20,000 of tax money is spent on a “quick fix” that in this case, as well as many others, has been ineffective in helping this teenager improve her overall health.
Risking Lives, Wasting Money, and Increasing Risk of Future Surgeries
Depending on the type of bariatric surgery that is performed, the death rate is still as much as 1%. Another 20% will require some sort of additional surgery relating to a complication of the original procedure. In the case of the article and the teenager who underwent the surgery, not only was it ineffective, she now will run the risk of lifelong complications from the lap band she received. She has now aged out of the Medicaid system and has no health insurance and no means of continuing follow-up health care.
The healthcare she really needs, and what would have been a much better use of the $20,000 paid for by Medicaid, through our tax dollars, would have bent in psychological treatment for the underlying emotional reasons that contributed to her obesity. She obviously was not mature enough to emotionally face this surgery since right before going under the knife she shares a joke with a friend through a text message which stated “We’re not fat. We’re professional eaters. Why should we be punished for our profession?” If this isn’t a clear sign of her unhealthy emotional relationship with food, I don’t know what is.
Long term management of her overall health would be a much better approach than a risky quick-fix lap band surgery. Many many not agree, but a health club or gym membership would be much less costly and far more beneficial to her overall health in the long run. These are medical treatments that in addition to abiding by the Hippocratic oath to do no harm.
Pediatricians Encouraging Bariatric Surgery?
I am disappointed that there are pediatricians encouraging teenagers to participate in weight loss surgery. For adults weight loss surgery should be a final option after weighing all negative outcomes and possibilities. These are decisions and life choices that are hard for many adults to deal with the consequences of. How can we expect children and those so inexperienced with the ways of the world and their own bodies to be able to handle the emotional and physical complications brought on by bariatric surgery?
Food is a Cheap Antidepressant
In tough economic times, where many have little health insurance and even less access to healthcare, it is not surprising that America is obese. Food is a cheap antidepressant. It is a fix for the stress and the problems that many encounter in their everyday lives. Exercise is a burden and a hassle for most. It’s not a surprise that as poverty increases and unemployment stays elevated, so do our waistlines.
Inappropriate Weight Loss Surgery
I firmly believe that using tax dollars to pay for the bariatric surgery of children is careless and frivolous spending in tough economic times.Not only is it wasteful, it’s actually detrimental to overall health.In order to provide the best possible care for patients like Ms.Gofman, a holistic approach to the overall well-being of an individual must be taken. The nursing process encourages taking a look at the entire person, emotional and physical, the medical process does not.
In the case of the Shani Gofman, the surgery appears to have done more harm than good. The emotional damage that she now faces because of her self-admitted weight loss failure were brought out by what, in my humble opinion, was a surgery that was inappropriate and should never have been considered as a treatment for her. She even admits that originally she did not want the surgery and only eventually gave it. Shame of the doctor who put the idea in her head. Without the safety net of the lap band in her head, who knows how successful Ms. Gofman might have been in her own attempts to loose weight and maintain a healthy lifestyle?
I’ve recently heard of children being taken away from their parents by the state because of they are overweight. Now I’m reading about children undergoing lap band surgery. What is next in our attempt to combat this epidemic of obesity in our youth? We have to do something to combat the obesity that is on the rise in our children, but I do not think these are the answers.
So what can we do to help our children grow into healthy adults that doesn’t involve invasive procedures and removing them from their families?