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Obese Americans face discrimination, even from medical community

by KING 5 Healthlink

KING5.com

Posted on December 8, 2011 at 7:24 PM

As America's waistline expands, discrimination against the obese grows along with it, even among members of the medical community.

Some physicians are refusing to treat obese patients.

"It wouldn't be the first time I heard about patients being obese feeling stigmatized by their doctor," said psychologist Jill Clemence.

Clemence said many people in the health care industry view obese patients as lazy and irresponsible when it comes to their physical condition.

"And I think when you have that core belief in mind and you're a doctor, it's going to influence how you make decisions about how to treat people," she said.

A 2007 Yale study found that doctor prejudice starts when a female patient is as little as 13 pounds overweight. Men get a pass from doctors until their are 75 pounds overweight, the study found.

In May 2011, a Florida physicians practice made headlines when it refused to accept overweight patients.

Discrimination can take other forms. "A lot of doctor's offices don't have chairs that don't have the handles, so it's very uncomfortable to sit down or get out of them," said Barbara Galloway, who participates in a program called TOPS -- Take Off Pounds Sensibly.

Other TOPS patients say doctors have cracked jokes that they took personally.  The result is that some obese patients avoid going to the doctor altogether.

Dr. Donna Montalto of the American Congress of Obstetricians and Gynecologists said doctors shouldn't refuse to treat anyone based on weight. "I'm outraged and shocked. Doctors, all doctors, take a hippocratic oath to treat any patient regardless of whether they're obese or they have chronic conditions.

But Dr. Peter Sosnow, who does not condone such discrimination, said obese women do have increased medical risks that may make some doctors hesitant to treat them.

"Bad outcomes can become malpractice even though there's no negligence," Sosnow said.

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Comments: Displaying 1 - 15 of 24

swarner1960 said on December 13, 2011 at 3:48 PM

I'm not agruing obesity is a major issue, it is. My issue was highlighted when a female friend of mine went through several doctors and was told repeatedly "Get active, drop some weight and you will feel better." She worked one full-time job, and two part time jobs that included lawn maintenance, office cleaning and Patient assistant at a Nursing home. Most of the original doctors did no test, other than listening to her heart, bp, etc . . . It wasn't until a doctor actually listened to her that she was diagnosed with a form of Lupis. Many doctors are far to quick, with no conclusive tests or indepth examinations, at diagnosing obesity as the cause of all of a person's health issues. Luckily she is healthy now.

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applmagotqrntine said on December 12, 2011 at 4:58 AM

Are we ready to elect an obese president?

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bazwest said on December 11, 2011 at 11:47 PM

Obesity is a problem. It is a major factor in a lot of health issues. Doctors are becoming overwhelmed with frivolous lawsuits. Liberal politicians refuse to limit the liability of doctors. This story implies that doctors should take on patients regardless of the risk factors caused by obesity regardless of the risk of lawsuits. Well, why should they? Do we think they are stupid? Doctors are by nature compassionate people, but they are also intelligent and quite likely have a desire to preserve their practice, their reputation, and their income. I think that if government would limit a doctor's exposure to frivolous lawsuits this would become much more of a non-issue.

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whatsyurbeef said on December 11, 2011 at 4:38 PM

Take care of yourselves and have a better quality of life, pay less for medical insurance and doctor visits. Or not.

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couchbull said on December 11, 2011 at 11:26 AM

I know life insurance and disability insurance premiums go up if you do things that drastically make your health worse (like smoking, doing illegal drugs, being an alcoholic) so I don't actually think it's so unreasonable for costs to go up for obesity. There are very rare medical cases where it can't be helped but those are rare. And before everyone starts spouting off about how "but you are healthy and young ..." Actually, I'm not. I gained weight due to having to take prednisone because of a chronic, disabling illness. And the weight made my health worse so I took responsibility and did the work to lose the weight again. If you want to do things to hurt yourself and then cry victim, that's fine, but weighing down the financial system is not fine. I think if you choose to smoke, drink excessively or allow yourself to become obese, you should not expect your health insurance to take on the extra financial burden unless you're actively trying to change it and help yourself

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aziza said on December 11, 2011 at 9:32 AM

ellemarie? I would love it if K5 would remove all derogatory comments- but unfortunately they likely won't.

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ellemarie said on December 11, 2011 at 12:18 AM

I hope you will join with me in requesting the derogatory comments here be removed. If these were comments directed at persons concerning their race or sexual orientation they would have been removed by now because we don't tolerate that kind of discrimination. Nor should posts of this nature be allowed towards people who are overweight. KING 5 needs to delete the offensive posts now.

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aziza said on December 10, 2011 at 11:01 PM

bazwest? Another way to look at it is, would you hire someone who has a positive outlook on life or someone who is mean spirited towards other people's appearances? Attitude is a mirror towards someone's inner health and beauty. Not saying skinny people are mean and larger people are nice, but you need to look at the WHOLE picture to get an accurate reading of someone.

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aziza said on December 10, 2011 at 10:54 PM

Considering that a lot of meds put weight on people, and our food sources are the same as what is used to fatten up livestock, and lets not forget the chronic dieters- people who yo yo diet... You cannot DIET your way to lose weight and stay healthy/ fit for life! You also cannot exercise your way to permanent weight loss. I have been a healthy weight my whole life and its really all about lifestyle- not calories and exercise. These doctors should be ashamed of themselves! How many of them have looked in the mirror lately? They are not exactly raving beauties themselves! Are they just a bunch of perverts who only want to examine playboy models? I also feel very sorry for the negative commenters here... obviously you worry and stress and agonize over your fine line to obesity - and project that self hatred. Tsk Tsk. Your lack of health is evident in your posts that you project. Sad.

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candlegirl said on December 10, 2011 at 1:09 PM

I am overweight and have been normal weight, I have also got alot of health issues and dont make that an exscuse but it happens to have alot to do with my weight. for example I had an overactive thyroid which made it easy for me to eat anything I wanted and as much as I wanted but not gain a pound ! and when they put me on meds to fix the problem I broke out in a bad rash, so they had to do radiation to kill off my thyroid, well, now I dont hardly eat and make healthy choices for the most part just like anyone else I gain weight. I also have MS and a bulging disc in my back and arthritus is my lower back. SO, I do my best to get exersize but I also work full time and spend 2 hrs daily on commute, and come home to a 10 year old,I firmly believe that w/ the econamy the way it is if insur. made an offer the OW people that if the join a gym and lose the weight they will reimberse the cost of the gym!! more people would do it !!! but to but rejecting thier health care is not the answer!!

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agarmy said on December 9, 2011 at 6:45 PM

I guess that means that people who drink alot, or who smoke or do drugs should also pay more for medical expenses. Oh, and so should the anorexics and bulemics. Basically, if you do anything that will alter your long term health, you should pay more for medical insurance. Lol, wow. So doctors do (or should) have a right to turn patients away from their private practices. (I know I know, terrible me.) I do believe that when it comes to obesity, the best thing is to do your best as a physician to help someone. They may have a food addiction, they may have underlying contributers to their current condition. I work in the healthcare field, and I do wonder how the patients get to be that way, but I realize it is more than just food, and lack of exercise. Your health team should be your ally in regards to your healthcare, not your enemy.

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musicfreak said on December 9, 2011 at 4:22 PM

I'm overweight. I've never been my ideal weight that I can remember. I exercise (haven't been able to since the Friday before Halloween because of a sprained ankle and then getting bronchitis). Other than my unfortunate clumsiness and getting this stupid bug from my sister, I'm relatively healthy. My BP is on the low side of normal, I'm not diabetic (not even close), I don't have any of the weight-related problems. For those saying, "Well, blahblahblah" because fat people are unhealthy, what about the man or woman who runs five miles a day, never drinks or smokes and drops dead of a heart attack at 45? We all can be predisposed to medical problems, and our weight or activity level may not have anything to do with if/when we get a serious illness.

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smiget said on December 9, 2011 at 2:22 PM

Doctors refuse obese patients, what about obese nurses. They are quite prevalent in the medical field!!

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btvsrcks said on December 9, 2011 at 10:01 AM

Other addictions don't prevent people from getting treated, why should an addiction to food? The example of the discrimination is right here on this thread. It is one of the hardest addictions to kick, mainly because you can't just stop eating cold turkey. Have some compassion people.. jeez.. Not everyone is lazy. It is a very difficult thing to do, kick an addiction. Many try and fail repeatedly. Give these people a break.

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Eggface said on December 9, 2011 at 9:47 AM

This is serious and potentially deadly behavior that is NOT ACCEPTABLE in the medical community. This bias and stigmatization can lead to obese patients avoiding preventive health services and exams, cancer screening tests, pelvic exams, mammograms, follow up appointments. I have been both morbidly obese and normal weight and have felt that difference in treatment first hand. This is SAD and WRONG. People, be kind to one another and take note: since 34% of Americans are obese chances are one of them is your Mom, Grandma, Pop, Uncle, Best Pal, Child. Consider that when making your callous comments and the what the effect of this behavior in the medical community could mean to YOUR loved ones life.

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stonetrails said on December 9, 2011 at 6:56 AM

stonetrails avatar

I do not discriminate against any particular class of people. . . Um, wait, I told a smidgeon of a white lie just now. . . Politicians; whenever I see a politician, I auto-magically find them objectionable, loathsome, creepy, obnoxious, repugnant, sleazy, fowl, rotten, immoral, scandalous, plebian, corrupt, unworthy, sordid, drudging, spineless, stale, characterless, monotonous, dishonest, fraudulent, kleptomaniacal, plunderous, piratic, dishonest, pilfering, fake, and overdrawn at the honest bank.

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whatsyurbeef said on December 9, 2011 at 5:32 AM

Obesity is a self made problem. You get to choose. There is only one person responsible for causing obesity.

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dancingcat said on December 9, 2011 at 12:19 AM

Wow, Shaniqua....hope you don't live in a glass house.

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bazwest said on December 8, 2011 at 11:56 PM

People deserve to be treated with dignity and kindness. But the whole discrimination angle is a real concern for business owners, and it sounds like for doctors too. If I am an employer and I have two equally qualified candidates and one is at their ideal weight while the other is obese I would not hire the obese person. Why? The health problems that most often go along with obesity can effect productivity, attendance, stamina, and healthcare costs for the business. Is that fair? Yes it is for the business and co-workers, and very unfortunate for the heavy person. If I am a doctor and I have to worry about frivolous lawsuits might I be selective about taking in certain patients. Perhaps we ought to extend some protection to doctors before we accuse them of being unfair.

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dancingcat said on December 8, 2011 at 11:32 PM

Wow, Shaniqua....hope you don't live in a glass house.

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Slinky_McGhe7a8 said on December 8, 2011 at 10:42 PM

I don't believe anyone should be discriminated against for any reason whatsoever, whether as an individual or by some group association. There are many reasons for people being obese, some of them are medically legitimate conditions. Some are not. I do think it's wrong that being obese alone is justification for getting a disabled parking pass, when someone I know with legitimate degenerative knee and back injuries has not been able to obtain one. Consideration does go both ways, however, as it was about two weeks ago I saw a story about a man who was forced to stand for a 6 hour flight because the person in the seat next to him "overflowed" into his seat, making it impossible for him to sit in the seat he had purchased.

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ellemarie said on December 8, 2011 at 10:18 PM

Why is it okay to discriminate against overweight people? We can't say anything racist, we can't refer to people sexual preferences, we are super sensitive about everything EXCEPT overweight people & I personally find it DISGUSTING that medical people behave in this way. Their job is to give medical care, offer help, and be understanding. Last time I checked they take a pledge to do this. I was just commenting the other day to someone about the blatant discrimination towards overweight people (& you don't even have to be that overweight) from medical people. Such as rude comments, disgusting looks, refusal to treat you as a human being, etc. A prominent clinic in Everett could use some work in this dept. For some reason American's feel it's okay to treat overweight people as second class citizens. It's NOT okay & certainly not okay for the medical community to behave this way. SHAME ON YOU!

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kryptin said on December 8, 2011 at 9:17 PM

I've experienced this myself from some doctors assuming I'm less healthy than I really am. I'll get my blood pressure checked 2-3 times as they don't believe I could have normal blood pressure. Losing weight doesn't help much as I've lost nearly 40 lbs in the last year (from 280 down to 242) and many doctors I've had experience with when they first see you they seem to always assume your lazy and actively gaining weight and your lying to them about your habits. It's like they hate you when you come out healthier than you look. Doctors are not very good motivators when they act like this. I dunno whether its from seeing so many unhealthy individuals or it's some kind of prejudice, but it sucks to be overweight and goto the doctor.

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Shaniqua said on December 8, 2011 at 8:17 PM

Stop eating so much and exercise. End of problem.

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