Fat$America:$The$Obesity$Epidemic$ · Fat$America:$The$Obesity$Epidemic$2$ $ Executive$Summary$ $ $...

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Joe Nano The obesity epidemic in the United States has grown out of control. Over the past 35 years, obesity rates have more than doubled. The average American is more than 24 pounds heavier today than in 1960. To provide some context for the magnitude of the current obesity rate in the U.S., more than a third of adults (34.9 percent) were obese as of 2011 to 2012. More than twothirds of adults were overweight or obese (68.5 percent). Approximately 16.9 percent of children (ages 2 to 19) were obese in 2011 to 2012, and 31.8 percent were either overweight or obese. Rates of both obesity and severe obesity are continuing to increase among both adults and children in America. The associated health problems that result from obesity have resulted in an estimated annual medical cost of $190 billion and have surpassed the medical costs associated with tobacco use. Yet medical costs are just one of the several negative impacts the epidemic has had on our society. In order to cure the epidemic that is plaguing our nation we must change existing policy and enact new policies on both the governmental and organizational level before the repercussions are insurmountable. Bucknell University The Stakeholder Organization: MGMT 302 Professor Jordi Comas BBhBttp://www.yalescientific.org/wp Fat America: The Obesity Epidemic Image Source: http://www.yalescientific.org/wpcontent/uploads/2012/05/featuresobesity1.jpg

Transcript of Fat$America:$The$Obesity$Epidemic$ · Fat$America:$The$Obesity$Epidemic$2$ $ Executive$Summary$ $ $...

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Joe  Nano  The  obesity  epidemic  in  the  United  States  has  grown  out  of  control.    Over  the  past  35  years,  obesity  rates  have  more  than  doubled.    The  average  American  is  more  than  24  pounds  heavier  today  than  in  1960.  To  provide  some  context  for  the  magnitude  of  the  current  obesity  rate  in  the  U.S.,  more  than  a  third  of  adults  (34.9  percent)  were  obese  as  of  2011  to  2012.    More  than  two-­‐thirds  of  adults  were  overweight  or  obese  (68.5  percent).    Approximately  16.9  percent  of  children  (ages  2  to  19)  were  obese  in  2011  to  2012,  and  31.8  percent  were  either  overweight  or  obese.  Rates  of  both  obesity  and  severe  obesity  are  continuing  to  increase  among  both  adults  and  children  in  America.    The  associated  health  problems  that  result  from  obesity  have  resulted  in  an  estimated  annual  medical  cost  of  $190  billion  and  have  surpassed  the  medical  costs  associated  with  tobacco  use.    Yet  medical  costs  are  just  one  of  the  several  negative  impacts  the  epidemic  has  had  on  our  society.    In  order  to  cure  the  epidemic  that  is  plaguing  our  nation  we  must  change  existing  policy  and  enact  new  policies  on  both  the  governmental  and  organizational  level  before  the  repercussions  are  insurmountable.      

B u c k n e l l   U n i v e r s i t y                 T h e   S t a k e h o l d e r   O r g a n i z a t i o n :   M G M T   3 0 2  P r o f e s s o r   J o r d i   C o m a s      

BBhBttp://www.yalescientific.org/wp-­‐

   

Fat  America:  The  Obesity  Epidemic  

Image  Source:  http://www.yalescientific.org/wp-­‐content/uploads/2012/05/features-­‐obesity-­‐1.jpg  

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Fat  America:  The  Obesity  Epidemic   2    

Executive  Summary       The  obesity  epidemic  in  the  United  States  has  become  not  only  an  individual  

problem,  but  also  a  national  problem—even  for  those  citizens  whom  are  not  obese  

themselves.    The  estimated  annual  medical  cost  of  obesity  in  the  U.S.  was  $190  

billion  in  2012  U.S.  dollars;  the  annual  medical  costs  for  obese  men  and  women  

were  $1,152  and  $3,613  higher  than  individuals  of  normal  weight,  respectively.1    

The  staggering  medical  cost  of  obesity  in  the  U.S.  has  overtaken  the  national  medical  

costs  associated  with  smoking  as  the  number  one  public  health  concern  when  it  

comes  to  cost.2    Yet  there  are  many  other  costs  associated  with  obesity  that  are  

commonly  overlooked  such  as  the  loss  of  productivity  both  in  and  out  of  the  

workplace  which  I  will  further  delve  into  in  the  body  of  this  paper.      

  The  policies  of  the  United  States  Federal  Government  has  worked  to  further  

the  interest  of  corporations  that  are  providing  American  consumers  with  the  fatty  

foods  that  have  played  a  key  role  in  the  rising  obesity  rates  in  the  country.    In  order  

to  prevent  the  negative  implications  that  the  epidemic  has  had  on  our  society  both  

the  government  and  organizations  must  work  together  for  the  interests  of  their  

shared  constituents,  the  American  people.    Although  lowering  the  current  rate  of  

obesity  in  America  is  not  something  that  can  be  achieved  overnight,  if  we  do  not  

take  action  as  a  society  soon,  the  exponential  growth  of  obesity  will  grow  along  with  

the  numerous  severe  repercussions  associated  with  the  disorder  on  our  society.    

                                                                                                               1  http://www.forbes.com/sites/rickungar/2012/04/30/obesity-­‐now-­‐costs-­‐americans-­‐more-­‐in-­‐healthcare-­‐costs-­‐than-­‐smoking/  2  http://www.cdc.gov/obesity/data/adult.html  

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Fat  America:  The  Obesity  Epidemic   3    

Table  of  Contents  

Executive  Summary  .....................................................................................................  2  

Introduction  .................................................................................................................  4  

The  State  of  Obesity  in  America  ...................................................................................  5  The  Epidemic’s  Rapid  Growth  ..............................................................................................................................  5  Obesity  Rates  Remain  High  ...................................................................................................................................  5  Racial  and  Ethnic  Disparities  in  Obesity  ..........................................................................................................  6  Socioeconomic  Status:  A  Strong  Correlation  to  Obesity  ...........................................................................  7  

The  Societal  Costs  of  Obesity  .......................................................................................  8  Lost  Productivity  ........................................................................................................................................................  9  Medical  Costs  ............................................................................................................................................................  10  The  Longevity  of  the  Obese  ................................................................................................................................  11  

Uncle  Sam  Wants  You  to  Get  Super  Sized  ...................................................................  11  The  Roots  of  Obesity  in  America  ......................................................................................................................  11  Governmental  Policy:  Uncle  Sam  is  for  a  Fatter  America  ......................................................................  13  The  Steps  to  Recovery:  How  to  Cure  the  Obesity  Epidemic  .........................................  15  Step  One:  Governmental  Policy  Changes  ......................................................................................................  15  Step  Two:  Changes  on  the  Organizational  Level  .......................................................................................  16  Schools  ..........................................................................................................................................................................  16  Responsible  Players  in  the  Food  Industry  .....................................................................................................  18  

Conclusion  .................................................................................................................  20  

Works  Cited  ...............................................................................................................  22        

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Introduction    Obesity  is  a  complex  disorder,  which  is  characterized  by  an  excessive  amount  

of  body  fat.    An  individual  is  likely  to  be  diagnosed  as  obese  if  their  body  mass  index  

(BMI)  is  30  or  higher.3    Your  body  mass  index  is  calculated  by  dividing  your  weight  

in  kilograms  (kg)  by  your  height  in  meters  (m)  squared.    Obesity  is  not  just  a  

concern  in  regards  to  the  individual’s  cosmetic  (or  physical)  appearance;  it  is  also  a  

major  health  risk.    Obesity  increases  an  individual’s  risk  to  certain  diseases  and  

health  problems  such  as  heart  disease,  stroke,  type  2  diabetes  and  certain  types  of  

cancer,  some  of  the  leading  causes  of  preventable  death.4        

The  obesity  epidemic  in  the  United  States  has  become  not  only  an  individual  

problem,  but  also  a  national  problem—even  for  those  citizens  whom  are  not  obese  

themselves.    The  estimated  annual  medical  cost  of  obesity  in  the  U.S.  was  $190  

billion  in  2012  U.S.  dollars;  the  annual  medical  costs  for  obese  men  and  women  

were  $1,152  and  $3,613  higher  than  individuals  of  normal  weight,  respectively.5    

The  staggering  medical  cost  of  obesity  in  the  U.S.  has  overtaken  the  national  medical  

costs  associated  with  smoking  as  the  number  one  public  health  concern  when  it  

comes  to  cost.3      

The  United  States’  obesity  problem  must  be  changed  for  the  both  the  

betterment  of  those  with  the  disorder  and  other  citizens  of  the  country,  which  has  

been  plagued  by  the  resulting  impactions  of  an  increasingly  obese  population.  This  

                                                                                                               3  http://www.mayoclinic.org/diseases-­‐conditions/obesity/basics/symptoms/con-­‐20014834  4  http://www.cdc.gov/obesity/data/adult.html  5  http://www.forbes.com/sites/rickungar/2012/04/30/obesity-­‐now-­‐costs-­‐americans-­‐more-­‐in-­‐healthcare-­‐costs-­‐than-­‐smoking/  

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paper  will  show  the  means  by  which  we  can  combat  the  obesity  epidemic  that  has  

continued  to  plague  the  nation.    Yet,  in  order  to  successfully  stave  off  the  epidemic,  it  

will  require  a  combination  changes  at  the  governmental  and  organizational  level.      

The  State  of  Obesity  in  America    

The  Epidemic’s  Rapid  Growth         In  the  United  States,  obesity  rates  among  both  children  and  adults  have  risen  

drastically  putting  millions  of  Americans’  health  at  risk  due  to  the  health  problems  

that  are  associated  with  obesity.    Over  the  past  35  years,  obesity  rates  have  more  

than  doubled.6    From  2009  to  2010  to  2011  to  2012,  rates  remained  the  same.6  The  

average  American  is  more  than  24  pounds  heavier  today  than  in  1960.6  Childhood  

obesity  rates  have  more  than  tripled  since  1980.6  The  rates  have  remained  the  same  

for  the  past  10  years.6  The  growth  of  obesity  in  the  United  States  is  staggering.          

Obesity  Rates  Remain  High    

Moreover,  obesity  and  severe  obesity  rates  in  the  U.S.  continue  to  increase  

among  both  adults  and  children  in  the  United  States.    To  

provide  some  context  for  the  magnitude  of  the  obesity  

epidemic,  more  than  a  third  of  adults  (34.9  percent)  were  

obese  as  of  2011  to  2012.6  More  than  two-­‐thirds  of  adults  

were  overweight  or  obese  (68.5  percent).  6  Approximately  

16.9  percent  of  children  (ages  2  to  19)  were  obese  in  2011  

                                                                                                               6  http://stateofobesity.org/obesity-­‐rates-­‐trends-­‐overview/  

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to  2012,  and  31.8  percent  were  either  overweight  or  obese.7  Rates  of  severe  obesity  

are  continuing  to  increase  in  adults,  and  more  than  one-­‐in-­‐ten  children  becomes  

obese  as  early  as  the  ages  of  2  to  57.      

Racial  and  Ethnic  Disparities  in  Obesity     Minorities  in  America  are  experiencing  even  higher  rates  of  obesity  when  

compared  with  Whites.    This  is  in  part  due  to  the  inequities  that  persist  in  income  

and  education  with  minorities,  as  poorer  and  less  educated  Americans  are  

experiencing  higher  rates  of  obesity  than  more  affluent  and  higher  educated    

 

populations.    To  give  this  some  context  47.8  percent  of  African  Americans,  42.5  

percent  of  Latinos,  32.6  percent  of  Whites  and  10.8  percent  of  Asian  Americans  

were  obese  (2011  to  2012).  7  With  the  average  obesity  for  all  American  adults  as  of  

2011-­‐2012  at  34.9%,  it  is  clear  that  obesity  rates  are  substantially  higher  for  

minority  populations  as  Black  and  Latino  obesity  rates  are  12.9%  and  7.6%  higher,  

                                                                                                               7  http://stateofobesity.org/obesity-­‐rates-­‐trends-­‐overview/  

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respectively.8  Furthermore,  in  relation  to  the  White  obesity  rates,  Black  and  Latino  

obesity  rates  are  15.2%  and  9.9%  higher,  respectively.8  These  higher  obesity  rates  

among  minority  populations  are  consistent  with  the  trend  of  individuals  of  lower  

socioeconomic  status  being  directly  correlation  to  high  obesity  rates.  

Socioeconomic  Status:  A  Strong  Correlation  to  Obesity       In  2012,  a  study  was  done  which  examined  data  from  the  Behavioral  Risk  

Factor  Surveillance  System  (BRFSS)  that  looked  at  income,  level  of  schooling  

completed  and  obesity  rates.    

The  study  found  strong  

correlations  between  obesity  

and  income,  and  between  

obesity  and  education.    Over  

35  percent  of  adults  age  26  

and  older  who  did  not  

graduate  high  school  were  obese,  compared  with  22.1  percent  of  those  who  

graduated  from  college  or  technical  college.8    Thirty-­‐three  percent  of  adults  who  

earn  less  than  $15,000  per  year  were  obese,  compared  with  25.4  percent  of  those  

who  earned  at  least  $50,000  per  year.8  Another  study  of  obesity,  income  and  

education  was  done  with  date  from  the  2005-­‐2008  National  Health  and  Nutrition  

Examination  Survey  (NHANES).    The  study  found  that  among  men,  obesity  

prevalence  is  similar  at  all  income  levels  whereas  among  women  obesity  prevalence  

increases  as  income  decreases.8  The  study  also  found  that  among  men,  education                                                                                                                  8  http://stateofobesity.org/socioeconomics-­‐obesity/  

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level  is  not  significantly  related  to  obesity  prevalence,  but  among  women  obesity  

prevalence  increases  as  education  decreases8.    Low  Income  and  minimal  education  

among  women  is  very  strongly  correlated  to  obesity.  

The  Societal  Costs  of  Obesity      

Obesity  rates  are  rising  at  an  alarming  rate  in  the  United  States.    But,  if  you’re  

not  obese  why  does  it  matter  to  you?    Does  this  epidemic  even  affect  you?    The  

answer  to  both  of  these  questions  is  yes.    As  I  stated  before  in  the  introduction,  the  

estimated  annual  medical  cost  of  obesity  in  the  U.S.  was  $190  billion  in  2012  U.S.  

dollars;  the  annual  medical  costs  for  obese  men  and  women  were  $1,152  and  $3,613  

higher  than  those  of  normal  weight,  respectively.9  These  aforementioned  medical  

costs  of  obesity  stem  from  a  variety  of  implications,  ranging  from  the  increased  

insurance  premiums  we  all  pay  to  subsidize  the  added  medical  charges  incurred  by  

obese  individuals  to  the  surprisingly  dramatic  impact  our  collective  pounds  has  on  

energy  costs.9  According  to  Sheldon  Jacobson  of  the  University  of  Illinois,  the  extra  

weight  carried  by  vehicles  as  a  result  of  obese  and  overweight  Americans  is  

responsible  for  almost  one  billion  additional  gallons  of  gasoline  being  burned  each                                                                                                                  9  http://www.forbes.com/sites/rickungar/2012/04/30/obesity-­‐now-­‐costs-­‐americans-­‐more-­‐in-­‐healthcare-­‐costs-­‐than-­‐smoking/  

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year  by  our  automobiles—nearly  1  percent  of  our  total  gasoline  usage10.    Using  

today’s  oil  prices,  even  though  recently  the  price  of  oil  has  significantly  decreased,  

this  would  amount  to  $2.66  billion  dollars.11    In  terms  of  carbon  dioxide  (CO2)  

emissions,  these  one  billion  additional  gallons  of  gas—due  to  the  extra  weight  

carried  by  vehicles  as  a  result  of  overweight  Americans—emits  19.64  billion  pounds  

of  C02  emissions.12    This  is  minor  in  respect  to  the  following  societal  impacts  of  the  

obesity  epidemic  that  I  will  speak  about  next,  yet  it  shows  how  even  such  an  obscure  

implication  of  obesity  has  a  significant  impact  on  our  nation  both  monetarily  and  

environmentally.          

Lost  Productivity       The  health  problems  associated  with  obesity  result  in  a  loss  of  productivity  in  

the  United  States,  as  the  obese  and  severely  obese  are  absent  from  work  more  

frequently  than  people  of  healthy  weight.      The  most  obese  men  take  5.9  more  sick  

days  a  year;  the  most  obese  women,  9.4  days  more.10  Obesity-­‐related  absenteeism  

costs  employers  as  much  as  $6.4  billion  a  year,  health  economists  led  by  Eric  

Finkelstein  of  Duke  University  calculated.10  However,  even  when  these  obese  

workers  are  not  kept  at  home  due  to  a  weight  related  illness,  such  workers  aren’t  as  

productive  as  they  suffer  from  shortness  of  breath  or  other  obstacles  detrimental  to  

productivity.    Such  a  loss  of  productivity  is  due  to  obesity-­‐related  “presenteeism,”  or  

the  act  of  attending  work  while  sick.    A  study  showed  that  the  very  obese  lose  one  

month  of  productive  work  per  year,  costing  employers  an  average  of  $3,792  per                                                                                                                  10  http://www.reuters.com/article/2012/04/30/us-­‐obesity-­‐idUSBRE83T0C820120430  11  http://www.fuelgaugereport.com  12  http://www.eia.gov/tools/faqs/faq.cfm?id=307&t=11  

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very  obese  male  worker  and  $3,037  per  female.13  Total  annual  cost  of  presenteeism  

due  to  obesity  was  calculated  to  be  an  astounding  $30  billion.13    

Employers  are  not  the  only  ones  who  suffer  from  the  repercussion  of  obesity  

on  productivity  in  the  workplace.    Obese  workers’  decreased  productivity  has  

proved  to  reduce  wages  as  employers  penalize  less  productive  workers.    Several  

studies  have  shown  that  the  obese  are  less  likely  to  be  hired  and  promoted  than  

their  healthy  colleagues.  Women  in  particular  bear  the  brunt  of  that  implication,  

earning  about  11  percent  less  than  women  of  healthy  weight,  health  economist  John  

Cawley  of  Cornell  University  found.13  At  the  average  weekly  U.S.  wage  of  $669  in  

2010,  that's  a  $76  weekly  and  $3,952  annually  obesity  tax.13          

Medical  Costs         When  obese  workers  are  not  hurting  productivity  while  in  the  work  place,  

because  they  must  take  a  sick  day  for  an  obesity  related  illness,  the  medical  costs  

associated  with  the  epidemic  keep  accruing.    Obese  men  rack  up  an  additional  

$1,152  a  year  in  medical  spending,  especially  for  hospitalizations  and  prescription  

drugs,  Cawley  and  Chad  Meyerhoefer  of  Lehigh  University  reported  in  January  in  the  

Journal  of  Health  Economics.13  Obese  women  account  for  an  extra  $3,613  a  year.13  

Using  data  from  9,852  men  (average  BMI:  28)  and  13,837  women  (average  BMI:  27)  

ages  20  to  64,  among  whom  28  percent  were  obese,  the  researchers  found  even  

higher  costs  among  the  uninsured:  annual  medical  spending  for  an  obese  person  

was  $3,271  compared  with  $512  for  the  non-­‐obese.13  Nationally,  this  factor  alone  

costs  Americans  $190  billion  a  year  in  additional  medical  spending  as  a  result  of                                                                                                                  13  http://www.reuters.com/article/2012/04/30/us-­‐obesity-­‐idUSBRE83T0C820120430  

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obesity,  calculated  Cawley,  or  a  total  of  20.6  percent  of  the  United  States’  entire  

health  care  expenditures.14        

The  Longevity  of  the  Obese             With  these  incredibly  high  medical  costs  and  the  aforementioned  health  

problems  associated  with  obesity,  surely  these  individuals  must  have  shorter  life  

expectancies.    This  is  what  researchers  suspected  for  years,  that  the  higher  medical  

costs  of  obesity  might  be  offset  by  the  possibility  that  the  obese  would  die  young,  

and  thus  never  rack  up  spending  for  nursing  homes,  Alzheimer's  care,  and  other  

pricey  items.    This  is  what  happened  to  smokers,  and  thus  is  why  researchers  

hypothesized  that  it  would  also  be  the  case  with  the  obese  population,  but  the  obese  

have  proved  resilient.    Beta  blockers  for  heart  disease,  diabetes  drugs,  and  other  

treatments  are  keeping  the  obese  alive  longer,  with  the  result  that  they  incur  

astronomically  high  medical  expenses  in  old  age  just  like  their  slimmer  peers.14  As  

obesity  rates  continue  to  rise  in  the  United  States,  the  obese  will  get  older  and  more  

people  will  become  obese  furthering  the  already  excessive  medical  costs  incurred  by  

the  American  people.      

Uncle  Sam  Wants  You  to  Get  Super  Sized  

The  Roots  of  Obesity  in  America       What  has  led  to  the  astoundingly  high  growth  in  obesity  rates  in  the  United  

States?    Junk  food.    Fast  food  and  processed  foods  are  a  staple  of  American  diets  and  

are  a  key  contributor  to  the  fattening  of  the  American  people.    According  to  a  Gallup                                                                                                                  14  http://www.reuters.com/article/2012/04/30/us-­‐obesity-­‐idUSBRE83T0C820120430  

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poll,  eight  in  10  Americans  report  eating  at  fast-­‐food  restaurants  at  least  monthly,  

with  almost  half  saying  they  eat  fast  food  at  least  weekly.15  Only  4%  of  Americans  

say  they  never  eat  at  fast-­‐food  restaurants15.    Americans  are  not  ignorant  to  the  fact  

that  these  foods  are  lacking  in  nutritional  value  and  unhealthy,  76%  of  people  in  the  

U.S.  think  the  food  served  in  fast-­‐food  restaurants  is  "not  too  good"  or  "not  good  at  

all  for  you.”15  Clearly  American’s  are  heavily  reliant  on  such  fatty  foods  and  they  

know  such  foods  are  bad  for  them,  but  why?      

The  appeal  of  these  junk  food  products  to  the  American  people  is  largely  due  

to  their  relatively  low  cost,  their  tastiness,  and  the  convenience.    The  typically  low  

cost  of  fast  foods  is  highly  appealing  to  many  Americans,  but  surprisingly  the  low  

cost  is  not  as  appealing  to  low-­‐income  individuals  as  it  is  to  wealthier  Americans.      

Wealthier  Americans—those  earning  $75,000  a  year  or  more—are  more  likely  to  eat  

fast  food  at  least  weekly  (51%)  than  are  lower-­‐income  groups.15  Those  earning  the  

least  actually  are  the  least  likely  to  eat  fast  food  weekly—39%  of  Americans  earning  

less  than  $20,000  a  year  do  so.15  This  discrepancy  is,  in  part,  the  tastiness  and  

convenience  that  the  industry  knows  appeals  to  its  consumers.        

Michael  Moss,  a  Pulitzer  Prize  winning  investigative  journalist  for  the  New  

York  Times  describes  such  foods  as  “weaponized”  as  they  artificially  manipulate  

their  products  to  make  them  addicting  to  the  consumer:  “They  prefer  words  like  

alluring,  craveable,  smackable.  But  the  aim  is  the  same,  which  is  to  create  the  perfect  

formula  and  amounts  of  salt,  sugar  and  fat  that  will  send  us  over  the  moon  and  make  

                                                                                                               15  http://www.gallup.com/poll/163868/fast-­‐food-­‐major-­‐part-­‐diet.aspx  

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their  products  irresistible.”16  Moss  explains  how  major  players  in  the  food  industry  

manipulate  one  of  the  ingredients  that  make  their  products  so  tasty—salt.    

Salt  manufacturers  convert  [salt]  into  just  all  kinds  of  shapes  and  sizes  aimed  at  perfecting  its  use  in  various  processed  foods,  from  very  fine  powders  that  dissolve  in  soup  to  the  kosher-­‐style  pyramid  salt  that  dissolves  three  times  faster  and  is  sold  as  having  the  biggest  flavor  burst  in  foods.16  

 Artificially  chemically  engineered  ‘salt’  is  just  one  of  the  additives  these  food  giants  

use  to  hook  their  junkies.    The  other  major  additives  that  send  their  consumers  over  

the  moon  are  corn  syrup,  high  fructose  corn  syrup,  cornstarch,  and  vegetable  

shortening.    Corn  and  soybeans  are  the  two  main  crops  that  are  processed  into  

theses  additives.    To  the  American  consumer  the  low  cost,  convenience,  and  

tastiness  of  fast  food  and  processed  foods  outweighs  the  associated  health  concerns.  

Yet,  governmental  policies  that  should  try  and  combat  the  issue  continue  to  support  

the  industry  that  is  making  more  and  more  Americans  obese  every  year  and  

increasing  the  associated  detrimental  effects  of  obesity.      

Governmental  Policy:  Uncle  Sam  is  for  a  Fatter  America    

Long-­‐standing  federal  agriculture  policies  have  provided  hundreds  of  billions  

of  dollars  to  these  crops  that  are  responsible  for  fueling  the  obesity  epidemic  in  the  

country.    Congress  and  the  Department  of  Agriculture  are  

spending  more  than  $1.28  billion  annually  to  subsidize  the  

crops  that  are  used  as  additives  in  manufacturing  cookies,  

candies,  soda  pop  and  other  highly  popular  junk  food  that  

arguably  are  among  the  primary  contributors  to  childhood  

                                                                                                               16  http://www.usnews.com/opinion/articles/2013/03/28/you-­‐are-­‐what-­‐-­‐you-­‐eat  

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obesity.17    Of  the  $277  billion  spent  on  farm  subsidy  programs  since  1995,  about  

$81.7  billion  went  to  subsidize  corn  and  $26.3  billion  went  for  soybeans.17  In  a  sign  

of  the  political  clout  of  the  biggest  producers,  75  percent  of  the  all  those  subsidies  

have  gone  to  just  3.8  percent  of  U.S.  farmers.  In  contrast,  the  government  has  

provided  only  $637  million  for  apples  or  vegetables.17  Moss  further  describes  the  

shocking  truth  of  how  industry  lobbyists  have  shaped  our  governmental  policies  to  

further  obesity  in  the  country.      

I  was  stunned  that,  in  many  cases,  the  government  agencies  that  are  supposed  to  be  regulating  the  processes  in  the  food  industry  are  not.  And  the  cheese  example  is  a  great  one.  The  government  incentivized  the  dairy  industry  to  make  so  much  cheese  it  piled  up.  Then  Washington  created  a  scheme  that  allows  the  industry  to  raise  tens  of  millions  of  dollars  for  marketing  to  get  us  to  eat  more  cheese  as  an  additive  in  cooking  and  processed  foods.  Our  cheese  consumption  has  tripled  since  the  70s,  and  it's  now  the  No.  1  source  of  all  that  saturated  fat  we're  getting.18  

 By  2030,  half  of  all  Americans  will  be  overweight,  adding  tens  of  billions  of  dollars  

more  to  the  annual  cost  of  treating  them.17  However,  the  government  continues  to  

pass  favorable  legislation  that,  with  tax  payer  dollars,  provides  hundreds  of  billions  

of  dollars  to  the  industry  which  already  contributes  to  the  immense  annual  cost  of  

obesity  in  the  United  States.    In  June  of  2012,  the  U.S.  Senate  overwhelming  

approved  new  farm  legislation  that  will  cost  taxpayers  nearly  $1  trillion  over  the  

coming  decade.17  The  current  governmental  policies  not  only  continue  to  burn  a  

whole  in  the  wallets  of  their  tax  payers,  but  are  also  detrimental  to  Americans  as  

they  further  increase  both  the  rates  of  obesity  and  costs  associated  with  the  obesity  

epidemic.      

                                                                                                               17  http://www.businessinsider.com/billions-­‐in-­‐tax-­‐dollars-­‐subsidize-­‐the-­‐junk-­‐food-­‐industry-­‐2012-­‐7  18  http://www.usnews.com/opinion/articles/2013/03/28/you-­‐are-­‐what-­‐-­‐you-­‐eat  

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The  Steps  to  Recovery:  How  to  Cure  the  Obesity  Epidemic  

Step  One:  Governmental  Policy  Changes         The  first  step,  on  the  road  to  recovery  from  the  addiction  of  fatty  foods  that  

are  currently  a  major  part  of  Americans’  diets,  is  to  change  the  governmental  

policies  that  continue  to  promote  the  food  industry’s  manipulation  of  American  

consumers  with  their  chemically  enhanced  artificially  flavorful  foods.    The  

governmental  policies,  in  respect  to  food  and  agriculture,  should  work  towards  

promoting  healthier  and  nutritious  foods,  which  would  result  in  healthier  diets  and  

healthier  Americans.    Further  policies  should  also  be  implemented  to  stifle  the  

growth  of  both  fatty  foods  and  the  use  of  crops  to  create  the  additives  that  

artificially  enhance  the  flavor  of  these  foods.      

Although  the  2014  Farm  Bill  included  several  nutrition-­‐related  provisions,  

The  Department  of  Agriculture  should  ensure  such  provisions  are  implemented  

both  effectively  and  in  a  timely  manner.19    Furthermore,  the  federal  agricultural  

subsidies  which  are  primarily  allocated  towards  corn  and  soybeans  (the  main  crops  

that  are  used  to  be  processed  into  additives)  should  be  allocated  more  towards  

fruits  and  vegetables  and  the  subsidies  that  are  provided  for  such  crops  should  be  

restricted  in  regards  to  their  use  in  producing  such  food  “weaponizing”  additives.    

Such  a  restriction  would  help  prevent  the  foods  that  are  artificially  enhanced  with  

additives  from  being  produced  as  producing  the  unhealthy  additives  would  be  more  

expensive.    Firms  who  continued  to  sell  these  crops  for  the  purpose  of  producing  

additives  would  not  receive  a  government  subsidy.    Thus,  the  firms  purchasing  these  

                                                                                                               19  http://sustainableagriculture.net/blog/2014-­‐farm-­‐bill-­‐by-­‐numbers/  

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crops  to  use  as  additives  to  their  fatty  foods  would  have  to  incur  the  increased  cost  

of  the  crop  from  their  suppliers  due  to  the  lack  of  a  government  sponsored  subsidy  

which  originally  mitigated  the  full  cost.      

To  further  promote  a  more  nutritious  diet  among  Americans,  the  government  

could  also  impose  a  higher  corporate  tax  rate  or  a  higher  sales  tax  for  such  fatty  

foods.    The  tax  revenues  provided  by  these  policies  would  help  offset  the  costs  

associated  with  the  obesity  problem  in  the  country  as  well  as  provide  funding  for  

new  nutritional  subsidies  to  promote  a  healthier  America.      

These  proposed  policy  changes  are  similar  in  nature  to  the  governmental  

policies  imposed  on  the  tobacco  industry  that  were  the  result  of  the  industries  

negative  effect  on  the  health  of  Americans.    Now  that  the  medical  costs  of  obesity  in  

the  United  States  has  surpassed  that  of  health  related  issues  to  smoking,  such  a  

policy  change  seems  fitting.    These  policies,  when  implemented  upon  the  tobacco  

industry,  proved  effective  in  providing  the  country  revenues  to  offset  the  costs  

incurred  by  the  detrimental  health  effect  of  their  product.    If  the  federal  government  

took  such  a  stance  on  fatty  foods  in  imposing  these  policies  on  the  food  and  

agricultural  industry,  it  would  set  a  precedent  for  Americans  impelling  them  to  

strive  to  live  healthier  lifestyles.      

Step  Two:  Changes  on  the  Organizational  Level  

Schools         Child  obesity  rates  are  at  an  all  time  high.    Schools  are  the  best  place  to  teach  

the  American  youth  how  to  live  a  healthy  lifestyle,  as  they  will  maintain  the  habits  

they  learn  as  a  child  into  adulthood.    First,  we  must  take  steps  to  ensure  that  only  

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healthy  food  options  are  being  provided  to  students  in  order  to  develop  healthy  

eating  habits  while  they  are  young  so  they  can  carry  those  habits  on  into  their  later  

lives.    We  must  also  promote  the  importance  and  time  allotted  to  physical  activity  

(i.e.  exercise).    Schools  are  the  medium  by  which  the  United  States  can  stop  its  

obesity  epidemic  at  the  source  and  prevent  future  generation  of  Americans  from  

become  obese,  ultimately  lowering  the  country’s  obesity  rates.      

While  their  has  been  regulation  imposed  to  make  foods  offered  at  schools  

around  the  country  healthier,  the  USDA  should  continue  to  monitor  state  and  local  

implementation  of  both  updated  school  meal  and  snack  food  and  beverage  

standards  and  provide  adequate  training  and  technical  assistance  where  needed  to  

states,  localities,  industry  and  school  nutrition  organizations.20    Additionally,  

adequate  funding  should  be  provided  to  schools  that  lack  the  necessary  tools  and  

resources  to  provide  healthy  meals  that  meet  USDA  nutritional  standards.      

Physical  activity,  whether  it  is  on  the  playground  or  during  gym  class,  is  a  

necessity  to  keep  the  youth  active.    This  is  becoming  increasingly  important,  as  

technology  has  made  children  more  inclined  to  sit  behind  a  screen  rather  than  play  

outside  during  their  leisure  time.    The  NFL’s  NFL  PLAY  60  program  is  one  initiative  

that  is  intended  to  help  promote  kids  to  get  active  and  play  outside,  “NFL  athletes  

grew  up  playing  in  communities  all  across  

America.  Now,  through  NFL  PLAY  60,  they're  

encouraging  kids  in  neighborhoods  

everywhere  to  come  out  to  play  for  60  minutes  

                                                                                                               20  http://stateofobesity.org/school-­‐foods/  

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a  day.”21    Not  only  is  physical  activity  important  at  a  young  age  to  stay  fit  and  

healthy,  it  also  allows  kids  to  develop  interest  in  sports  and  other  outdoor  activities  

that  they  can  continue  to  pursue  as  they  grow  older.    Fostering  these  interest  at  a  

young  age  will  help  prevent  kids  from  staying  behind  their  TVs  and  computer  

screens  and  teach  them  to  stay  fit  through  exercise  because  a  healthy  diet  is  just  one  

of  the  ingredients  to  a  healthy  lifestyle.  

By  teaching  Americans  at  a  young  age  how  to  stay  healthy  we’ll  be  more  

successful  in  keeping  them  away  from  the  addictive  enhanced  fatty  foods  and  

unhealthy  habits  that  were  the  causes  of  our  current  obesity  epidemic.    Ensuring  the  

youth  of  America  develops  habits  conducive  to  a  healthy  lifestyle  will  help  us  in  

mitigating  the  future  costs  of  obesity  while  also  preventing  that  cost  from  

continuing  to  increase  the  burden  of  the  epidemic  on  the  taxpayer.  The  current  rate  

of  obesity  among  adults  will  be  hard  to  change  as  those  individuals  have  already  

developed  the  habits  that  are  characteristic  of  an  unhealthy  lifestyle,  thus  the  youth  

are  our  best  chance  of  curing  the  country  of  the  epidemic.  

Responsible  Players  in  the  Food  Industry         With  the  aforementioned  policy  changes  implemented  by  the  federal  

government  in  the  food  and  agriculture  industry,  in  order  to  operate  as  a  successful  

firm  in  the  food  and  agricultural  space,  firms  will  have  to  adapt  a  health  oriented  

business  strategy.    Firms  who  have  already  acted  responsibly  and  provided  their  

consumers  with  healthy  and  nutritional  products  will  have  a  competitive  advantage  

to  their  fatty  food  counterparts.    The  firms  who  continue  to  offer  unhealthy  products                                                                                                                  21  http://www.nflrush.com/play60  

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will  be  out  competed  by  their  healthy  competitors  in  the  long  run  if  they  cannot  

successfully  introduce  new  healthy  products.    Thus,  the  policy  changes  will  work  to  

change  the  marketplace  in  the  food  industry  and  make  it  more  conducive  to  

changing  the  currently  unhealthy  diet  of  Americans.      

Firms  who  continue  to  offer  fatty  foods  will  incur  higher  costs  due  to  the  

increased  costs  of  the  crops  they  use  to  process  into  additives  and  higher  costs  due  

to  higher  taxation  on  such  products  from  the  corporate  side.    These  costs  will  force  

firms  to  raise  their  prices  to  maintain  their  profit  margins,  yet  their  revenues  will  

suffer  from  the  increased  sales  tax  for  such  goods  on  their  consumers,  which  will  

reduce  the  demand  for  their  product.      

Currently  we  have  seen  companies  such  as  PepsiCo  be  on  the  forefront  of  

acting  responsibly,  before  such  aforementioned  proposed  regulation  is  

implemented  in  the  industry.    While  they  still  maintain  several  brands  that  contain  

additives  that  are  unhealthy  for  consumers,  they  have  created  and  developed  

several  healthy  brands.    PepsiCo’s  two  healthy  “product  porfolios”  are  called  Better-­‐

for-­‐You  and  Good-­‐for-­‐You  (as  seen  right).22    

Already  having  such  a  portfolio  of  products  will  

allow  PepsiCo  to  have  a  competitive  and  succeed  

in  the  new  health  conscious  marketplace  

compared  to  its  competitors  in  the  food  and  

beverage  industry.      

                                                                                                               22  http://www.pepsico.com/annual10/products/good-­‐for-­‐you.html  

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Socially  responsible  firms  who  already  offer  healthy  and  nutritional  products  

will  outperform  their  competing  firms  in  the  industry  that  offer  unhealthy  products  

in  the  long  run.    As  the  youth  of  America  grows  into  adulthood  they  will  maintain  

the  habits  they  developed  as  children  and  constitute  the  majority  of  American  

consumers.    The  performance  of  the  firms  that  have  not  acted  socially  responsible  

and  offered  products  that  were  unhealthy,  but  were  tasty  due  to  their  use  of  

additives  that  manipulated  their  consumer  into  taste  bud  addicts,  will  justifiably  

suffer  from  their  failure  to  act  in  the  best  interest  of  their  stakeholder  (i.e.  their  

customers  and  the  entirety  of  the  American  people  who  are  incurring  the  costs  that  

have  resulted  from  the  obesity  epidemic).      

Conclusion    

While  it  may  take  time  for  the  effect  of  these  changes  in  policy  on  both  the  

governmental  and  organizational  level  to  achieve  the  ends  of  a  healthier  society,  the  

obesity  epidemic  is  of  paramount  importance  to  the  long  run  success  of  the  United  

States  as  a  whole.    The  societal  costs  of  the  epidemic  are  already  unprecedented.    If  

obesity  rates  to  continue  to  rise,  as  a  result  of  us  not  taking  action  to  cure  this  

epidemic  that  has  plagued  our  nation,  the  monetary  and  social  costs  on  our  society  

will  prove  extraordinary  as  they  continue  to  rapidly  increase.    Our  government  and  

the  organizations  within  our  society  must  strive  to  act  in  the  best  interest  of  their  

constituents,  rather  than  the  best  interests  of  themselves  whether  that  be  through  

kickback  received  through  lobbyist  or  compensation  earned  by  executives.    If  

organizations  within  our  society  do  not  act  together  to  fight  to  cure  the  epidemic,  we  

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may  be  unable  to  reverse  the  repercussions  as  they  continue  to  magnify  without  

intervention.      

   

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Works  Cited    "AAA's Daily Fuel Gauge Report." AAAs Daily Fuel Gauge

Report. N.p., n.d. Web. 18 Dec. 2014. "Adult Obesity Facts." Centers for Disease Control and

Prevention. Centers for Disease Control and Prevention, 09 Sept. 2014. Web. 17 Dec. 2014.

Begley, Sharon. "As America's Waistline Expands, Costs Soar."

Reuters. Thomson Reuters, 30 Apr. 2012. Web. 18 Dec. 2014.

"Fast Food Still Major Part of U.S. Diet." Fast Food Still Major

Part of U.S. Diet. N.p., n.d. Web. 16 Dec. 2014. "NFLRUSH PLAY 60 - NFLRUSH." RSS. N.p., n.d. Web. 19 Dec.

2014. "NSAC's Blog." National Sustainable Agriculture Coalition 2014

Farm Bill Drill Down The Bill by the Numbers Comments. N.p., n.d. Web. 19 Dec. 2014.

"Obesity Now Costs Americans More In HealthCare Spending

Than Smoking." Forbes. Forbes Magazine, n.d. Web. 16 Dec. 2014.

"Obesity Rates & Trends Overview." : The State of Obesity. N.p.,

n.d. Web. 18 Dec. 2014. "Obesity." Symptoms. N.p., n.d. Web. 18 Dec. 2014. "PEPSICO 2010 Annual Report." PEPSICO. N.p., n.d. Web. 19

Dec. 2014. Pianin, Eric. "How Billions In Tax Dollars Subsidize The Junk

Page 23: Fat$America:$The$Obesity$Epidemic$ · Fat$America:$The$Obesity$Epidemic$2$ $ Executive$Summary$ $ $ The$obesity$epidemic$in$the$United$States$has$become$not$only$an$individual$ problem,$but$also$a

Food Industry." Business Insider. Business Insider, Inc, 25 July 2012. Web. 19 Dec. 2014.

"U.S. Energy Information Administration - EIA - Independent

Statistics and Analysis." How Much Carbon Dioxide Is Produced by Burning Gasoline and Diesel Fuel? N.p., n.d. Web. 18 Dec. 2014.

US News. U.S.News & World Report, n.d. Web. 16 Dec. 2014.