Skip to main content

Fat people: #IAmNotADisease

By Marilyn Wann, Special to CNN
updated 4:53 PM EDT, Tue June 25, 2013
STORY HIGHLIGHTS
  • The American Medical Association classified obesity as a disease
  • Marilyn Wann: Because of the label, fat people will likely encounter more weight bias
  • She says the AMA is focused on profit by focusing on weigh and weigh loss approach
  • Wann: If the AMA truly cares about the health of fat people, they will end the war on obesity

Editor's note: Marilyn Wann is author of "FAT!SO?" and a weight diversity speaker internationally. She is the creator of Yay! Scales, which give compliments instead of numbers.

(CNN) -- In deciding last week to label one third of Americans -- fat people -- as diseased, the American Medical Association not only went against the advice of its own experts, they also failed to include anyone from fat community in that decision.

There is a consensus among three groups of people -- those who proudly self-identify as fat, fat studies scholars and advocates of the Health at Every Size approach -- that the AMA is putting profits before people and redoubling its focus on weight and weight loss when that approach has, for decades, failed to produce on its promises. It doesn't make people thinner or healthier in the long term, and it encourages weight stigma, prejudice and discrimination.

The AMA seems eager to expand weight-loss treatment and convince insurers to reimburse for it. Big Pharma has two new weight-loss drugs out, with users losing at most only 10% of their body weight at a monthly cost of $100 or more and possible health complications.

New obesity drug Belviq to be available to certain patients

2012: FDA-approved diet drug Qsymia available

Bariatric surgeons would doubtless like to expand insurance reimbursements for the practice of surgically interrupting healthy internal organs. And the $66 billion per year weight-loss industry has a stake, too. (Although "weight-loss" industry is a misnomer when so many dieters regain lost weight that repeat customers are a basic part of the industry's business model.)

Marilyn Wann
Marilyn Wann

"I can guarantee you that if there was no money to be had in this, the term 'obesity epidemic' would not exist," said clinical psychologist Peggy Elam.

At news of the AMA's pronouncement, fat community members started the #IAmNotADisease hashtag on Twitter. I posted this petition on Change.org. The fat community's oldest civil rights group, the National Association to Advance Fat Acceptance, proclaimed a vote of no confidence in the AMA and called for "an immediate roundtable discussion that includes higher-weight people from every community."

As a result of the AMA's decision, fat people who face health challenges will encounter even more weight bias in medical settings and will likely encounter more difficulty obtaining treatment unrelated to weight. (The classic story in fat community involves going to the doctor with a sinus headache and being told to lose weight although many people's stories of medical weight bias are far more dire.)

Nation's obesity crisis

Weight stigma itself is a direct threat to fat people's health.

"Overall, it feels like another form of systematic discrimination and oppression," said blogger TaRessa Stovall.

Author Lesley Kinzel wrote, "For all of our cultural hand-wringing about how much fat people are allegedly costing health insurance companies, the AMA sure doesn't seem bothered by potentially causing an explosion of unnecessary prescriptions (and surgeries!) among the one-third of Americans who are suddenly now 'diseased.' "

When doctors rely on weight, or a phrenology-era number such as BMI, they will misidentify more than half the healthy people as unhealthy, psychologist Deb Burgard pointed out.

"They do not seem to understand that calling one-third of the natural variety in a population 'sick' is a hostile act and undermines the trust that millions of people would otherwise place in their doctors' advice," Burgard said.

As one petition signer, Victoria Centanni, commented: "My doctor already [attributes] all of my health problems to my being fat. [It] makes me want to avoid seeking health care for any reason."

For more than two decades, health professionals who promote the Health at Every Size concept have argued that a weight focus does no lasting good and much harm to physical and mental health and to fat people's social status.

They are finding that a weight-neutral approach based in self-acceptance and social justice yields far superior results for people's health and happiness. People are able to develop enjoyable, sustainable eating and exercise habits and a positive feeling about their bodies.

If the AMA truly cares about the health of fat people, they will end the war on obesity.

Follow us on Twitter @CNNOpinion

Join us on Facebook/CNNOpinion

The opinions in this commentary are solely those of Marilyn Wann.

ADVERTISEMENT
Part of complete coverage on
updated 3:47 PM EDT, Wed October 1, 2014
Julian Zelizer says Jimmy Carter's message about the need to restore trust in public officials is a vital one, decades after the now 90-year-old he first voiced it
updated 5:56 PM EDT, Wed October 1, 2014
Ford Vox says mistakes and missed opportunities along the line to a diagnosis of Ebola in a Liberian man have put Dallas residents at risk of fatal infection
updated 6:21 PM EDT, Wed October 1, 2014
Pepper Schwartz says California is trying, but its law requiring step-by-step consent is just not the way hot and heavy sex proceeds on college campuses
updated 10:17 PM EDT, Wed October 1, 2014
Mike Downey says long-suffering fans, waiting for good playoff news since 1985, finally get something to cheer about
updated 5:39 PM EDT, Wed October 1, 2014
Steve Israel saysJohn Boehner's Congress and the tea party will be remembered for shutting down government one year ago
updated 2:56 PM EDT, Wed October 1, 2014
Yep. You read the headline right, says Peter Bergen, writing on the new government that stresses national unity
updated 7:12 PM EDT, Wed October 1, 2014
Hong Kong's pro-democracy demonstrators are but the latest freedom group to be abandoned by the Obama administration, says Mike Gonzalez
updated 12:53 PM EDT, Tue September 30, 2014
Jeff Yang calls Ello a wakeup call to Facebook and Twitter, and a sign of hope for fast-rising upstarts Pinterest and Snapchat.
updated 10:23 AM EDT, Wed October 1, 2014
Paul Waldman says the Secret Service should examine its procedures to make sure there are no threats to the White House--but without losing the openness so valuable to democracy
updated 10:55 AM EDT, Wed October 1, 2014
Jesse Williams says the videotape and 911 call that resulted in police gunning down John Crawford at a Walmart reveals the fatal injustice of racial assumptions
updated 7:03 PM EDT, Tue September 30, 2014
Mel Robbins says officials should drop the P.C. pose: The beheading in Oklahoma was not workplace violence. Plenty of evidence shows Alton Nolen was an admirer of ISIS.
updated 3:11 PM EDT, Tue September 30, 2014
The Occupy Central movement has already achieved much by bringing greater attention to Hong Kong's struggle for democracy, William Piekos says..
updated 3:11 PM EDT, Tue September 30, 2014
The Occupy Central movement has already achieved much by bringing greater attention to Hong Kong's struggle for democracy, writes William Piekos.
updated 10:13 AM EDT, Tue September 30, 2014
As Prime Minister Narendra Modi visits America, Madeleine Albright says a world roiled by conflict needs these two great democracies to commit to moving their partnership forward
updated 10:04 AM EDT, Tue September 30, 2014
John Sutter: Lake Providence, Louisiana, is the parish seat of the "most unequal place in America." And until somewhat recently, the poor side of town was invisible on Google Street View.
updated 9:11 AM EDT, Mon September 29, 2014
Julian Zelizer says in the run up to the 2016 election the party faces divisions on its approach to the U.S.'s place in the world
updated 10:19 AM EDT, Mon September 29, 2014
Ruben Navarrette says Common Core supporters can't devise a new set of standards and then fail to effectively sell it.
updated 9:29 AM EDT, Tue September 30, 2014
Earlier this month, Kenyans commemorated the heinous attack on the Westgate Mall in Nairobi.
updated 2:59 PM EDT, Tue September 30, 2014
David Wheeler says Colorado students are right to protest curriculum changes that downplays civil disobedience.
updated 9:58 PM EDT, Fri September 26, 2014
Sally Kohn says when people click on hacked celebrity photos or ISIS videos, they are encouraging the bad guys.
updated 7:55 AM EDT, Fri September 26, 2014
Loren Bunche says she walked by a homeless man every day and felt bad about it -- until one day she paused to get to know him
updated 9:32 AM EDT, Tue September 30, 2014
ISIS grabs headlines on social media, but hateful speech is no match for moderate voices, says Nadia Oweidat.
updated 8:33 AM EDT, Mon September 29, 2014
A new report counts jihadists fighting globally. The verdict? The threat isn't that big, says Peter Bergen.
updated 5:37 PM EDT, Tue September 23, 2014
Ebola could become the biggest humanitarian disaster in a generation, writes former British Prime Minister Tony Blair
updated 12:58 PM EDT, Fri September 26, 2014
ISIS has shocked the world. But will releasing videos of executions backfire? Four experts give their take.
updated 10:39 AM EDT, Fri September 26, 2014
Eric Holder kicked off his stormy tenure as attorney general with a challenge to the public that set tone for six turbulent years as top law-enforcement officer.
updated 9:09 AM EDT, Fri September 26, 2014
LZ Granderson says Obama was elected as a war-ending change agent, not a leader who would leave behind for his successor new engagement in Iraq and Syria. Is he as disappointed as the rest of us?
updated 5:10 AM EDT, Wed September 24, 2014
Gayle Lemmon says the question now is how to translate all the high-profile feminizing into real gains for women
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT