Skip to main content

Fat people: #IAmNotADisease

By Marilyn Wann, Special to CNN
June 25, 2013 -- Updated 2053 GMT (0453 HKT)
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
December 20, 2014 -- Updated 0242 GMT (1042 HKT)
Conservatives know easing the trade embargo with Cuba is good for America. They should just admit it, says Fareed Zakaria.
December 20, 2014 -- Updated 0112 GMT (0912 HKT)
We're a world away from Pakistan in geography, but not in sentiment, writes Donna Brazile.
December 19, 2014 -- Updated 1709 GMT (0109 HKT)
How about a world where we have murderers but no murders? The police still chase down criminals who commit murder, we have trials and justice is handed out...but no one dies.
December 18, 2014 -- Updated 2345 GMT (0745 HKT)
The U.S. must respond to North Korea's alleged hacking of Sony, says Christian Whiton. Failing to do so will only embolden it.
December 19, 2014 -- Updated 2134 GMT (0534 HKT)
President Obama has been flexing his executive muscles lately despite Democrat's losses, writes Gloria Borger
December 18, 2014 -- Updated 1951 GMT (0351 HKT)
Jeff Yang says the film industry's surrender will have lasting implications.
December 18, 2014 -- Updated 2113 GMT (0513 HKT)
Newt Gingrich: No one should underestimate the historic importance of the collapse of American defenses in the Sony Pictures attack.
December 10, 2014 -- Updated 1255 GMT (2055 HKT)
Dean Obeidallah asks how the genuine Stephen Colbert will do, compared to "Stephen Colbert"
December 18, 2014 -- Updated 1734 GMT (0134 HKT)
Some GOP politicians want drug tests for welfare recipients; Eric Liu says bailed-out execs should get equal treatment
December 18, 2014 -- Updated 1342 GMT (2142 HKT)
Louis Perez: Obama introduced a long-absent element of lucidity into U.S. policy on Cuba.
December 16, 2014 -- Updated 1740 GMT (0140 HKT)
The slaughter of more than 130 children by the Pakistani Taliban may prove as pivotal to Pakistan's security policy as the 9/11 attacks were for the U.S., says Peter Bergen.
December 17, 2014 -- Updated 1600 GMT (0000 HKT)
The Internet is an online extension of our own neighborhoods. It's time for us to take their protection just as seriously, says Arun Vishwanath.
December 16, 2014 -- Updated 2154 GMT (0554 HKT)
Gayle Lemmon says we must speak out for the right of children to education -- and peace
December 17, 2014 -- Updated 1023 GMT (1823 HKT)
Russia's economic woes just seem to be getting worse. How will President Vladimir Putin respond? Frida Ghitis gives her take.
December 17, 2014 -- Updated 0639 GMT (1439 HKT)
Australia has generally seen itself as detached from the threat of terrorism. The hostage incident this week may change that, writes Max Barry.
December 12, 2014 -- Updated 2020 GMT (0420 HKT)
Thomas Maier says the trove of letters the Kennedy family has tried to guard from public view gives insight into the Kennedy legacy and the history of era.
December 15, 2014 -- Updated 1456 GMT (2256 HKT)
Will Congress reform the CIA? It's probably best not to expect much from Washington. This is not the 1970s, and the chances for substantive reform are not good.
December 15, 2014 -- Updated 2101 GMT (0501 HKT)
From superstorms to droughts, not a week goes by without a major disruption somewhere in the U.S. But with the right planning, natural disasters don't have to be devastating.
December 15, 2014 -- Updated 1453 GMT (2253 HKT)
Would you rather be sexy or smart? Carol Costello says she hates this dumb question.
December 14, 2014 -- Updated 2253 GMT (0653 HKT)
A story about Pope Francis allegedly saying animals can go to heaven went viral late last week. The problem is that it wasn't true. Heidi Schlumpf looks at the discussion.
December 14, 2014 -- Updated 1550 GMT (2350 HKT)
Democratic leaders should wake up to the reality that the party's path to electoral power runs through the streets, where part of the party's base has been marching for months, says Errol Louis
December 13, 2014 -- Updated 2123 GMT (0523 HKT)
David Gergen: John Brennan deserves a national salute for his efforts to put the report about the CIA in perspective
December 12, 2014 -- Updated 1426 GMT (2226 HKT)
Anwar Sanders says that in some ways, cops and protesters are on the same side
December 11, 2014 -- Updated 1439 GMT (2239 HKT)
A view by Samir Naji, a Yemeni who was accused of serving in Osama bin Laden's security detail and imprisoned for nearly 13 years without charge in Guantanamo Bay
December 14, 2014 -- Updated 1738 GMT (0138 HKT)
S.E. Cupp asks: How much reality do you really want in your escapist TV fare?
ADVERTISEMENT