Obesity: The Rational Addiction Model

The intent of this paper is to explore the correlation between obesity and increased cost to companies for their healthcare coverage of all employees. Our hypothesis is that obesity is increasing the cost of healthcare company wide due to obesity and the diseased associated with this epidemic. Our null hypothesis is that the effects and treatment of obesity is not having a direct impact on the total healthcare cost of organizations.

Obesity is defined as a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduce life expectancy and/or increased health problems. “The problem of obesity is increasing in the United States. Understanding the impact of social inequalities on health has become a public health priority in the new millennium. Social, political, and economic factors now are acknowledged to be "fundamental" causes of disease that affect behavior, beliefs, and biology.” (Goodman, 2003)  In the United States today, obesity has become an enormous problem. In the last 3 decades, the number of people overweight has increased dramatically. Obesity has not always been seen as a medical

Obesity has been a growing problem in the U.S. for more than a decade. Various reasons and theories are thrown around as to the cause of this severe problem by psychologists, dietitians, and professors trying to pinpoint a single cause. Due to America’s vast supply of resources, luxurious living standards, and moral of the country, there is no one cause for obesity contrary to advertisements offering a quick-fix drug. America’s obesity problem is rooted much deeper than just cheap fast food and poor choices. Medical conditions, influence of genes, unhealthy lifestyles, and mental illnesses are all contributors towards obesity in any one person. Obesity is a serious problem in America with multiple contributors and one lone solution

Obesity within adults is a prevalent problem in the United States, with over 51% of all adults suffering from obesity by the year 2030 (Joyner et al. 217). Obesity, or the state of being excessively overweight, is sometimes a result from what is known as food addiction. Much like an addiction to a substance, to be addicted to food is to constantly crave a certain food item (Joyner et al. 217). Obesity and food addiction tend to coincide with each other. That coexistence is shown primarily in the documentary Super Size Me, in which director Morgan Spurlock focuses on the way fast food and food addiction affect the human body.

Ordinarily, individuals are tempted to make unhealthy choices in the environment they live in, with even candy readily available at gas stations, customers are responsible for what they buy. To be able to overcome obesity, one has to have motivation to be healthy in the

Obesity has been framed as a topic of personal responsibly for a long time. For many, the fundamental notion has always been that if you stop eating junk food and eat “healthy”, you will maintain a healthy weight. According to the U.S. Centers of Disease Control’s 2007-2008 Health and Nutrition Examination survey, it was found that 73.7% of all Americans 20 years old or older were overweight, obese, or extremely obese. That is a lot of fat people and it is hard to believe that fast food alone is responsible for 70% of adult Americans being overweight.

The Centers of Disease Control and Prevention claims that “obesity related medical care cost in the United States are at an all time high, and in 2008 dollars, these cost were estimated to be 147 billion. The annual nationwide productive costs of obesity-related absenteeism range between $3.38 billion ($79 per obese individual) and $6.38 billion ($132 per obese individual),” according to the Centers of Disease Control and Prevention. An analysis conducted by Emory University own healthcare economist Ken Thorpe, Ph.D. C, titled “The Future Cost of Obesity” estimates that the annual of cost of health care will sky rock by an estimated 344 billion dollars by 2018 or about $20.00 per every healthcare dollar spent in the U.S, providing a financial imperative for obesity prevention initiatives.

The last decade has welcomed, with open arms, a new epidemic: obesity. Currently in the United States, more than one-third of adults, 35.7%, and approximately 17% of children and adolescents are obese. Obesity is not only a problem in the US but also worldwide with its prevalence doubling in high income and economically advanced countries and is also growing in under-developed areas. Its incidence rate is continually increasing with each successive generation and in each age group, including the elderly (Byles, 2009; Dorner and Rieder, 2011).

History suggests that overeating is a choice, an addition similar to smoking cigarettes caused by lack of will power, boredom or simple gluttony. With new research, society is beginning to learn there is more behind obesity than just a choice or addition. For instance, a

Increasingly high obesity rates among the U.S. population have both personal and societal ramifications. For the individual, increased body mass has been linked to a myriad of health issues including heart disease, Type II diabetes, high cholesterol, cancer, strokes, kidney & liver disease, and hypertension. (Wilmore, et al., 2008) On a societal level, the Center for Disease Control estimates that obesity related medical care costs reached a staggering $147 billion in 2008 with obese patients costing $1,400 more per patient than those that fell into a "normal" weight rage (CDC). Obesity-related diseases may also contribute to millions of lost workdays and higher insurance premiums (CNBC).

Sure it may seem like one insignificant choice out of the millions of choices made in a lifetime, but “There may be a thousand little choices in a day. All of them count” – Anonymous. All those insignificant cakes, French fries, and sodas add up, and the sum is obesity.

The Let’s Move initiative is devoted to solving the problem of childhood obesity. After the launch of this initiative, President Barack Obama also put into motion the first task force on childhood obesity with a goal of decreasing obesity in children to 5% by the year 2030 (U.S. Task Force, 2010). The Let’s Move initiative is built upon the following four pillars:

The trend of health care costs is still primarily based on treatment and less on prevention. Adult obesity is a significant cause of preventable chronic diseases and one cause of increased health care costs in the United States. The cost of obesity impacts each state and community. Adult obesity can be associated with chronic diseases like diabetes, heart disease, stroke, osteoarthritis, and some cancers, just to name a few, and account for more than 75 percent of U.S. health care cost. Currently, costs range from $147 billion to nearly $210 billion per year. If this trend continues, obesity-related medical costs alone could reach 66 billion a year by 2030.

There are more than one billion overweigh adults in the world with at least three hundred of these adults being obese. In North America, obesity has increasingly become one of the most important public health problems (Flegal, Graubard, Williamson, & Gail 2005). With cases of obesity increasing, there has also been more exportation of research being done into the topic. Moreover, social, psychological and biological factors are being investigated to determine aspects that may influence the onset of obesity. This paper will focus on two specific domains of the biopsychosocial model of health with a focus on psychological and social factors that affect obesity.

Linked with health problems is a poor diet. Variations in our food environment have made it challenging to maintain a healthy weight. Society tends to want to eat more fast-food rather than cooking at home because it is cheaper and less time-consuming. We have become lazy when it comes to our diets. We don’t take into consideration the Food Guide and basically eat what we want, when we want. Obesity is also a major drain on the economy. The amount of money being spent on health care because of obesity-related diseases is astronomical. The Globe and Mail had an article headlined, “Obesity costs economy up to $7-billion a year” (Picard). By eating right and maintaining a healthy lifestyle, our society can cut down economic costs drastically. All we need to have is some discipline, the proper diet, and exercise.