Role Play

"Two million in UK at risk of type 2 diabetes as obesity crisis grows"

NHS chief executive Simon Stevens said “bulging waistlines” were leading to the rise in people living with type 2.

Simon Stevens "...a key player in the direction of the NHS under Tony Blair's government", so this isn't about versus, this is the political classes who hold and administer power. His CV, with selected highlights: "NHS Privatiser";

United Health Group Vice-President and President and/or Chief Executive Officer of United Health 2004-2014
His duties at United Health included lobbying for the NHS and other European national health services to be included in the Transatlantic Trade and Investment Partnership (TTIP) 

UHG's UK affiliate is called "Optum". Insurance profit motive depends on denial of claims. "Obesity" is device for the denial of medicine. In other words, what comes after the insurance models denial of claims, is healthcare and medical professionals denial of themselves. One hand is washing the other so to speak.

As part of efforts to tackle the problem, a radical new liquid diet will be available on the NHS to put type 2 diabetes into remission. Five thousand patients will be restricted to 800 calories per day for three months in a pilot to be rolled out from April. This will be followed by a further nine months of support to help them maintain weight loss.

Obviously, all concerned know "obesity crisis" = evidence of ancient individuated famine's failure. Apart from data capture and mining, self-inducing famine also trains the mind toward invidualised "prevention".

With this sort of incentive (and more) dieting doesn't have to work, it just has to keep being enforced.

Personal Responsibility Exemplars

A reminder, fat people's personal responsibility has been exemplary. Though one would be unwise to take anything said by weight quackists on face value, it's worth repeating. With absolutely nothing, we have been expected to alter our bodies to an extent that falls under the balliwick of the (Western) medical profession, with little to no accurate science, no medical training whilst brainwashed to abuse ourselves without mercy or cease, disregarding, burying our own true feelings, reality, actions and their results.

We repeated dieting over and over, many of us failing pretty much every time, or grinding off weight at great cost in time and effort, only to see it return with no effort in a half or even quarter of the time it took to shed it.

Every time the latter did this, they endeavoured to try again. Every time the former failed, they endeavoured to try again, expecting to succeed all the way, until we learnt. We had an education.

So much responsibility did we take that I find myself randomly identifying with the chronically and genuinely ill, who have to do numerous things to try and stay on an even keel, because of doing so much.

We did all this without being sick. Not that I want to throw sick or disabled people under the bus-some are obviously both, but there's something about having to do stuff to keep you going or alive even, that can compel in ways not having to simply cannot.

We didn't have to do all this, we did it anyway. For the cause.

Any compulsion we had was largely contrived, it's one of the reasons fat people have been so loath to give up on that, it shapes you.

This is not sad, such is the extent of our taking everything on ourselves, I feel we touched something outside the cramped norms pressed on us. It showed us that what is "expected" of us, is deliberately set way below all our capacities. It was in some ways, an outer perimeter of what we're expected to be able to do.

It has ended the doctor/ patient contract as we know it and for that, I think we should celebrate and be thanked by all still held in its thrall.

Knowing no Pain, Knowing no Pleasure

Courtesy of this is thin privilege,

I genuinely would like your thoughts on my experience: I am severely underweight. I get gawked at, my health brought up, and insulted because of my body by strangers, relentlessly. When I was obese, I never experienced any of that. I actually received way more compliments when i was overweight and when i was obese than i receive at my current weight. I have been respectful and made no negative comments - I'd appreciate if you could respond in the same manner. Thanks

Well, we can feel immediately, slim person's energy-I very much doubt s/the(y) is/are "severely underweight" [under what weight? People often have their own ideas about the starting point]. By slim energy, I mean, someone making the minuscule, maximo if it happens to a slim and makes anything negative that happens to a fat, nothing and anything falling short of base negativity, a "positive".

Calling yourself 'obese' and "overweight" like that, means you have experienced all of that-gawked at, health brought up, insulted because of your body- or you wouldn't applying said terms to yourself with such a sense of peace and comfort.

'Obesity' itself is degrading branding and an insult in any way you could define that. It erases your sentience-addressing it to do so- pathologises you, makes you common property, silences you, tells you you are "disease" and not human, whilst knowing full well that you are. That's just the beginning of it. Every time you apply it to yourself, you validate this, hence a lot of fat people's anxiousness, anguish and exhaustion.

"Overweight" is based on a slim centric metric, validating slimness as the only legitimate size. Here is one of those who don't hear any insult to fat people, due to, for example, perceiving that as legitimate critique. We were all like that at one time.

Probably our friend in struggle thought slenderness would render them immune to criticism. Unfortunately for them, back in the day, advocates for anorexics decided to raise awareness.

Up til then, people were very loathe to cross any boundary of enquiring whether a slender person might be so due to anorexia nervosa-were assured to press through that as PWA tended to deny vigorously that they're anorexic.

That broken boundary led to over-familiarity fuelled by that self-righteousness people get when they feel the changing of your body happens from what they say to you. On the heels of that came this angry contempt for someone "not going to get help". See the case of Eugenia Cooney to peep that atmosphere.

In other words, there is a similarity between the firepower aimed at anorexia and fatness, for pretty much the same reasons, coming from the same people, the difference is anorexia does kill. 

Denial of Service

"I was denied NHS treatment because my BMI was too high", note there's no term such as "deemed" in between "was" and "too".One of the cases featured in this article is a woman who had gallstones, gallstones. When I hear that term I think, pain. Everyone who's ever told me of their experience of them has emphasised usually right off the bat that they are excruciatingly, painful.

I didn't even know it was possible to have painless ones [it is],

Gallstones don't usually cause any symptoms. But if a gallstone blocks one of the bile ducts, it can cause sudden, severe abdominal pain, known as biliary colic.

This woman was told she couldn't be referred to hospital for further treatment on the grounds of weight.

On one occasion it went on for more than 10 hours," she says. "I was exhausted, but in too much pain to sleep, scared to move in case it made it worse, but wanting to move in order to try and find some relief."

After nine months of this, albeit, intermittently. 

We're reluctant to call this what it is, a refusal of treatment. Doctors are effectively drawing the line at weight. I don't care to get itty-bitty on this. If people think, demanding people diet, is not refusing treatment, then they clearly have no grasp of what being refused treatment means. In all humility, I can do nothing for them.

Personally, as I keep saying, I have no problem with doctors refusing treatment, but unlike others I see this as a two-way negotiation. I want what I feel is needed to make this work for me not the professionals, and that is the tools I need to make a go of actual self-management, plus provision of medical expertise that excludes any 'obesity' or "lifestyle" nonsense.

The standard treatment for gallstones is gallbladder removal – or cholecystectomy – but Karen was told she couldn't be put on the waiting list for surgery until after she'd lost weight and her BMI was below 30. Instead, she was advised to manage her symptoms by eating an extremely low-fat diet – which, she adds, did at least help her to lose weight quickly [choosing from scientifically researched methods and techniques that use her conscious mind to alter her body's function.]

I'm giving you a sense of what is required here. I have no objection whatsoever to managing myself, I've been trying to do it since I was about seven years old. What I have learnt in all that time is self management isn't shit, without tools that actually do what you require. That demands real knowledge, not made up crud like 'obese'.

Obviously, those fat people who are-sick of being their own doctors-can stick with this and fight against "medical fatphobia", fuqdat. I'd just as soon have use of more of my body's own abilities, if you don't mind.