Close Close
Popular Financial Topics Discover relevant content from across the suite of ALM legal publications From the Industry More content from ThinkAdvisor and select sponsors Investment Advisor Issue Gallery Read digital editions of Investment Advisor Magazine Tax Facts Get clear, current, and reliable answers to pressing tax questions
Luminaries Awards
ThinkAdvisor

Life Health > Health Insurance

The Girth of Affluence

X
Your article was successfully shared with the contacts you provided.

Several months ago,  I heard that Starbucks was test-marketing a new size of drink, the Trenta (Italian for “thirty”), a 31 oz. size for iced drinks. There was more than a fair bit of eyebrow-raising over that, as a Starbucks Venti (Italian for “corpulent”) is approximately the size of a small child. So what did we really need something even bigger for? Personally, I have  ahard time imagining that there really are so many people out there who would polish off a Venti, sit back, and think, “You know, I could really use something else to wash that down with.”

Apparently, there are, because Starbucks has expanded the Trenta to some 14 states across the country, and it plans to roll it out (no pun intended) nationwide in May. Just in time for the summer iced mocha frappacino season. I can just imagine people two-handing these monsters with the ubiquitous Starbucks dome-top filled with caramel-drizzled whipped cream. And even if the Trenta is only for things like, say, iced tea, a 31 oz. drink is still so large that if you forced a prisoner of war to drink one in five minutes, you’d probably be accused of trying to waterboard him.

Now, it should be mentioned that Starbucks insists that a Trenta-sized unsweetened tea will clock in at under 90 calories, and a sweetened tea will come in at around 230 calories. Personally, that sounds like they’re shaving their numbers, but then again, I’m still crispy around the edges from when KFC tried to pass off their notorious Double Down “two-pieces-of-fried-chicken-instead-of-bread sandwich as having only 500 calories.

But the calories aren’t the thing here, really. It’s portion size. And that’s where Starbucks gets a big, fat F. Portion size is a key ingredient in the obesity problem in the United States and around the world. It’s not quite as bad as, say, water-borne disease, but as far as the industrialized world goes, there is probably no single health problem doing more to shorten lives than obesity. Heart disease, diabetes, osetoarthritis, stroke, cancers and other illnesses are all prime exhibits that the notion of “healthy at any size” is nothing more than a lame excuse for not accepting responsibility for one’s own well-being.

But more than that, obesity is an extremely costly disease, according to a great article on obesity that I recently received from McKenzie. The graphic below is from that article, and as you can see, increased health care costs are just part of the overall cost of obesity. eating extra food, buying bigger clothing, inevitable (and usually futile) attempts to diet, as well as reduced productivity all make being obese a very expensive problem to have.

Now, the upshot of the McKenzie article is that because of the severity of the obesity pandemic – not that it’s infectious, but that it is a health problem affecting large populations across the world simultaneously – national governments must get involved to do more about it. Here is where I break with the article. And maybe it’s because I have lost a lot of weight myself in recent months that I feel this way, but I think that with the food industry being what it is, government education and awareness raising programs can only do so much. People, ultimately, must choose to be healthy, and it’s an increasingly difficult choice in a world where our market-driven economies have somehow left us with one health food store for every 25 fast-food restaurants. But the choice is ours to make, and ultimately, no amount of government coddling will make people embrace health if they don’t really want to.

And yet.

The same argument could be made for mandating the use of seat belts, couldn’t it? after all, isn’t it somebody’s right to choose whether they want to be smart and survive a car crash, or to be dumb and die from it? Indeed, it is. But somewhere along the line, the government decided that the risk to oneself for not wearing a seat belt is so great that it needed to step in and protect people from themselves. because, sadly, there are a lot of dumb folks out there. Including my Dad, who ardently refuses to wear a belt and will gladly eat a ticket if he was caught at it. (I love you Dad, but come on, man. You’ve got a lead foot. Buckle up.) I cannot help but feel that sooner or later, the obesity problem will reach a magnitude where if society does not help itself, then the government will step in to do the job. I really would never want to see that happen. So with that in mind, I would like to point out a few things that I think would do a lot to help the obesity problem that would require fairly little government action, and more importantly, not cost a single taxpayer dime. Ready? Here we go.

IDEA #1: Kill all wheat, corn and dairy subsidies. I know it sounds un-American, since cheap food is a kind of birthright in this country, but the truth is that because of artificially cheap wheat, we all eat way more carbs than we need to. Because of cheap milk, we have a surplus of cheese and a Dairy Council that is hellbent on telling us that cow’s milk does a body good, even though as a species, we did just fine without it up to the point where we started drinking it a few thousand years ago. (Ask anybody who is lactose-intolerant, and they’ll tell you that the human body just isn’t designed to digest the stuff. We’re better off without it.) And as for cheap corn, that’s created a corn surplus so gigantic that our corn farmers turned to making high-fructose corn syrup out of it just so it wouldn’t all go bad, and as that stuff has infiltrated our food industry, right in the mid-eighties, our national obesity rate began to skyrocket. We have been living in an era of incredibly cheap food, and while that’s good in a way, our surplus has begun to kill us and frankly, it wouldn’t hurt if food were a bit more expensive. My personal food bill is easily twice as high as it could be simply because I choose to eat organic and healthy food. And while the point of this argument isn’t to make sure the rest of the country feels the wallet pinch that I do at the supermarket, it’s worth noting that in countries like Japan, where there is no agricultural subsidy, things like beef is at a market-appropriate $36 a pound or so. Japan also has one of the best obesity rates in the industrialized world while the rest of us are starting to resemble those balloon-like scooter people from WALL-E. Chew on that.

IDEA #2: Address the market. A big reason why portion sizes are so out of control, besides the fact that we simply have the food with which to make them, is because there is a market demand for it. That’s all well and good, my free-market friends (and don’t get me wrong, I’m a fan of the free market), but there is also a market demand for crack cocaine, pornography and Justin Bieber albums, so let’s not fool ourselves into thinking that just because there is a demand that it should be filled. Obviously, we can’t frogmarch food manufacturers and restauranteurs into some big re-education camp in order to start producing responsible foodstuffs. Nor can we really expect Congress to seriously disincentivize these group from their current course because their lobbies are so powerful they simply buy off any dissent. There needs to be a grass roots effort on the part of people everywhere to wake up and stop killing themselves at mealtime. I dunno…maybe it’ll take Al Roker barfing up a Big Mac on live television to finally get people to realize just how bad most of their food really is for them. But until there is that mass wake-up, people will continue to quietly sidestep the issue. Restaurants such as McDonald’s deserve credit for trying to roll out healthy alternatives to the crap they normally serve, but you know what would be even better? Stop serving the crap in the first place. I can hear it now, though. “But…but…we have shareholders to satisfy.” Indeed. But the CEO of every major food and restaurant company ought to spend a week treating diabetic ulcers and then try to tell the public with a straight face that there really isn’t a problem with the food they make. Yes, indeed, people are not forced to eat it, and I question the true addictive nature of fatty, salty and sugary foods. (Deeply compelling, yes. Truly addictive? I think not.) But at the same time, when you know people are hurting themselves with your product, when you know you’re clearly not producing good food, then you owe it to yourself to do the moral thing and do something about it.

IDEA #3: Shame. As a nation, we have somehow turned this corner where it is no longer proper to make fun of fat people. Now, I cannot advocate wanton cruelty, but for a very long time, it was considered shameful, or at least embarrassing, to let oneself go to the point where it became visually obvious. I remember fat jokes were flung with abandon when I was in grade school, but at some point (I think it was in the 1990s, the era of political correctness), it became verboten to harsh on overweight people. Granted, there are some who are huge because of glandular or other medical problems. That’s not their fault. And I am sure there are some who are genetically predisposed to being large. Again, what are you going to do? But come on…when half the country is overweight or obese, it’s not a huge sweep of unforeseen circumstance that is doing it. It’s our lack of will to be healthy. And as the rate of obesity has increased, so has our social acceptance of it. Even to the point where it is starting to skew with food science itself. That has to end. Shame alone could be the single greatest motivator for people to kick their terminal food habits and get well. Government mandate will not (and should not) do it. Market forces probably wouldn’t do it, either. But shame? That gnawing feeling in your heart that you are not doing what you ought to be? That force can move mountains. And it’ll have to. We are becoming as big as them.

LAST IDEA: Call in the cavalry. No, not the real cavalry. They’re already too fat to help out. I’m talking about you people. The life & health industry. The industry collectively spent close to $7 million dollars just to support the health care repeal vote, and understandably so. It had interests to protect. But for as much as I hear it said that L/H agents really, deeply, truly care about their clients, where is the stake in their healthiness? Premium incentives for being healthy are fine, but even better would be premium disincentives for not being fine. Why not add a premium surcharge for every point one’s BMI is over 25? And when the inevitable discrimination lawsuits come around, simply have the industry band together and fight the legal battle collectively. Surely the industry has the means do fight a dozen such challenges. And before somebody hits me with a “nice way to spend somebody else’s money, Bill,” comment, consider this: Were the industry to set a precendent for weight-based underwriting that penalized the overweight rather than rewarding the fit, it would set a standard by which companies could choose to scale their pricing upward to offset the increased health risks already being posed by obese policyholders. Indeed, underwriting is supposed to offset that already, but if it is one thing the industry can always do better on, it’s underwriting. And frankly, how better to shock people to the reality of needing to get fit than by getting hit with a bigger premium payment? Sure, they’ll hate you for it, but honestly, this is the insurance industry we’re talking about. People will find a reason to hate you for something anyway. John Strangfeld himself could walk into the Justice Department with Osama bin Laden over his shoulder and people would still gripe over how long it took Prudential to find the guy.

That’s about all for now. Leave your comments in the box below. I know I said some things that are bound to offend, but I’d rather hurt people’s feelings and get some conversation going among people who can make a difference than to politely stay quiet while the rest of us bloat ourselves into oblivion.


NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.