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Fat People & Smokers cost LESS to treat (1 Viewer)

St. Louis Bob

Footballguy
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By MARIA CHENG, AP Medical Writer

LONDON - Preventing obesity and smoking can save lives, but it doesn't save money, researchers reported Monday. It costs more to care for healthy people who live years longer, according to a Dutch study that counters the common perception that preventing obesity would save governments millions of dollars.

"It was a small surprise," said Pieter van Baal, an economist at the Netherlands' National Institute for Public Health and the Environment, who led the study. "But it also makes sense. If you live longer, then you cost the health system more."

In a paper published online Monday in the Public Library of Science Medicine journal, Dutch researchers found that the health costs of thin and healthy people in adulthood are more expensive than those of either fat people or smokers.

Van Baal and colleagues created a model to simulate lifetime health costs for three groups of 1,000 people: the "healthy-living" group (thin and non-smoking), obese people, and smokers. The model relied on "cost of illness" data and disease prevalence in the Netherlands in 2003.

The researchers found that from age 20 to 56, obese people racked up the most expensive health costs. But because both the smokers and the obese people died sooner than the healthy group, it cost less to treat them in the long run.

On average, healthy people lived 84 years. Smokers lived about 77 years, and obese people lived about 80 years. Smokers and obese people tended to have more heart disease than the healthy people.

Cancer incidence, except for lung cancer, was the same in all three groups. Obese people had the most diabetes, and healthy people had the most strokes. Ultimately, the thin and healthy group cost the most, about $417,000, from age 20 on.

The cost of care for obese people was $371,000, and for smokers, about $326,000.

The results counter the common perception that preventing obesity will save health systems worldwide millions of dollars.

"This throws a bucket of cold water onto the idea that obesity is going to cost trillions of dollars," said Patrick Basham, a professor of health politics at Johns Hopkins University who was unconnected to the study. He said that government projections about obesity costs are frequently based on guesswork, political agendas, and changing science.

"If we're going to worry about the future of obesity, we should stop worrying about its financial impact," he said.

Obesity experts said that fighting the epidemic is about more than just saving money.

"The benefits of obesity prevention may not be seen immediately in terms of cost savings in tomorrow's budget, but there are long-term gains," said Neville Rigby, spokesman for the International Association for the Study of Obesity. "These are often immeasurable when it comes to people living longer and healthier lives."

Van Baal described the paper as "a book-keeping exercise," and said that governments should recognize that successful smoking and obesity prevention programs mean that people will have a higher chance of dying of something more expensive later in life.

"Lung cancer is a cheap disease to treat because people don't survive very long," van Baal said. "But if they are old enough to get Alzheimer's one day, they may survive longer and cost more."

The study, paid for by the Dutch Ministry of Health, Welfare and Sports, did not take into account other potential costs of obesity and smoking, such as lost economic productivity or social costs.

"We are not recommending that governments stop trying to prevent obesity," van Baal said. "But they should do it for the right reasons."
I for one have had it with paying these ginormous health care bills for you healthy people. A 500% gym tax would be a good start to make up the difference.

 
This has been known for quite a while. I saw articles saying the same thing in the early 1990s.

It's hard to argue with the data.

 
But because both the smokers and the obese people died sooner than the healthy group, it cost less to treat them in the long run.

:goodposting:

 
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This has been known for quite a while. I saw articles saying the same thing in the early 1990s.It's hard to argue with the data.
You wouldn't know it on these boards or the political climate today. All you ever hear is that cigarettes shoud be $20 a pack because smokers are such a drain on the system.Fat taxes? Sure!I say Ray Kroc should be posthumously awarded the Congressional Medal of Honor for his $1 menu.
 
St. Louis Bob said:
Link

By MARIA CHENG, AP Medical Writer

LONDON - Preventing obesity and smoking can save lives, but it doesn't save money, researchers reported Monday. It costs more to care for healthy people who live years longer, according to a Dutch study that counters the common perception that preventing obesity would save governments millions of dollars.

"It was a small surprise," said Pieter van Baal, an economist at the Netherlands' National Institute for Public Health and the Environment, who led the study. "But it also makes sense. If you live longer, then you cost the health system more."

In a paper published online Monday in the Public Library of Science Medicine journal, Dutch researchers found that the health costs of thin and healthy people in adulthood are more expensive than those of either fat people or smokers.

Van Baal and colleagues created a model to simulate lifetime health costs for three groups of 1,000 people: the "healthy-living" group (thin and non-smoking), obese people, and smokers. The model relied on "cost of illness" data and disease prevalence in the Netherlands in 2003.

The researchers found that from age 20 to 56, obese people racked up the most expensive health costs. But because both the smokers and the obese people died sooner than the healthy group, it cost less to treat them in the long run.

On average, healthy people lived 84 years. Smokers lived about 77 years, and obese people lived about 80 years. Smokers and obese people tended to have more heart disease than the healthy people.

Cancer incidence, except for lung cancer, was the same in all three groups. Obese people had the most diabetes, and healthy people had the most strokes.Ultimately, the thin and healthy group cost the most, about $417,000, from age 20 on.

The cost of care for obese people was $371,000, and for smokers, about $326,000.

The results counter the common perception that preventing obesity will save health systems worldwide millions of dollars.

"This throws a bucket of cold water onto the idea that obesity is going to cost trillions of dollars," said Patrick Basham, a professor of health politics at Johns Hopkins University who was unconnected to the study. He said that government projections about obesity costs are frequently based on guesswork, political agendas, and changing science.

"If we're going to worry about the future of obesity, we should stop worrying about its financial impact," he said.

Obesity experts said that fighting the epidemic is about more than just saving money.

"The benefits of obesity prevention may not be seen immediately in terms of cost savings in tomorrow's budget, but there are long-term gains," said Neville Rigby, spokesman for the International Association for the Study of Obesity. "These are often immeasurable when it comes to people living longer and healthier lives."

Van Baal described the paper as "a book-keeping exercise," and said that governments should recognize that successful smoking and obesity prevention programs mean that people will have a higher chance of dying of something more expensive later in life.

"Lung cancer is a cheap disease to treat because people don't survive very long," van Baal said. "But if they are old enough to get Alzheimer's one day, they may survive longer and cost more."

The study, paid for by the Dutch Ministry of Health, Welfare and Sports, did not take into account other potential costs of obesity and smoking, such as lost economic productivity or social costs.

"We are not recommending that governments stop trying to prevent obesity," van Baal said. "But they should do it for the right reasons."
I for one have had it with paying these ginormous health care bills for you healthy people. A 500% gym tax would be a good start to make up the difference.
:rolleyes: :lmao:
 
Apparently money no longer has any time value.
If you can explain how that is relevant for this issue, I'd love to hear it.
isnt it quite simple?if it costs 417,000 bucks to treat a healthy person till death and and 371/326 for obese and smokers, the difference is that the cost per year of life is less for that of a healthy person.what would you rather do, pay 371,000 over 30 years or 417,000 over 40, 45, 50 yearseither that or Iam stupid :goodposting:
 
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Apparently money no longer has any time value.
If you can explain how that is relevant for this issue, I'd love to hear it.
isnt it quite simple?if it costs 417,000 bucks to treat a healthy person till death and and 371/326 for obese and smokers, the difference is that the cost per year of life is less for that of a healthy person.

what would you rather do, pay 371,000 over 30 years or 417,000 over 40, 45, 50 years

either that or Iam stupid :lmao:
$/Yr has nothing to do with time value. Chase is arguing that we're spending the money on the obese/smokers sooner than we are on "healthy" people. That may be true if we're comparing one smoker or one obese person vs. one "healthy" person of the same age. But the fact is were spending $$$ today on the obese, smokers and the "healthy." So the time value factor is not an influence on the overall cost comparison.
 
Apparently money no longer has any time value.
If you can explain how that is relevant for this issue, I'd love to hear it.
isnt it quite simple?if it costs 417,000 bucks to treat a healthy person till death and and 371/326 for obese and smokers, the difference is that the cost per year of life is less for that of a healthy person.

what would you rather do, pay 371,000 over 30 years or 417,000 over 40, 45, 50 years

either that or Iam stupid :rolleyes:
$/Yr has nothing to do with time value. Chase is arguing that we're spending the money on the obese/smokers sooner than we are on "healthy" people. That may be true if we're comparing one smoker or one obese person vs. one "healthy" person of the same age. But the fact is were spending $$$ today on the obese, smokers and the "healthy." So the time value factor is not an influence on the overall cost comparison.
No, I was thinking time value should matter too and it's not clear from the article if it was considered or not. You would think it was, because it's just so obvious and elementary. Also, cost aside, the study failed to assign a "cost" to the lost productivity of a smoker or obease person dying at 70 or whatever vs. 80. That's 10 years of lost value from a person/employee/business owner/ or whatever and factoring in those "costs" it's not even close. It's expensive to smoke or be obease because of the opportunity costs.
 
Sounds like the solution to fixing the healthcare cost problem is to kill everyone as early as possible?

Mandatory executions at 40, anyone?

About the same type of logic used in that article...

 
Apparently money no longer has any time value.
If you can explain how that is relevant for this issue, I'd love to hear it.
isnt it quite simple?if it costs 417,000 bucks to treat a healthy person till death and and 371/326 for obese and smokers, the difference is that the cost per year of life is less for that of a healthy person.

what would you rather do, pay 371,000 over 30 years or 417,000 over 40, 45, 50 years

either that or Iam stupid :rolleyes:
$/Yr has nothing to do with time value. Chase is arguing that we're spending the money on the obese/smokers sooner than we are on "healthy" people. That may be true if we're comparing one smoker or one obese person vs. one "healthy" person of the same age. But the fact is were spending $$$ today on the obese, smokers and the "healthy." So the time value factor is not an influence on the overall cost comparison.
No, I was thinking time value should matter too and it's not clear from the article if it was considered or not. You would think it was, because it's just so obvious and elementary. Also, cost aside, the study failed to assign a "cost" to the lost productivity of a smoker or obease person dying at 70 or whatever vs. 80. That's 10 years of lost value from a person/employee/business owner/ or whatever and factoring in those "costs" it's not even close. It's expensive to smoke or be obease because of the opportunity costs.
If it's so obvious and elementary could you explain it to us?And why would the "cost" of lost productivty be relevant when we're talking about health care costs.

Even if it was, do you really want to hang your hat on the "productivity" of people in their 70s and 80s, healthy or otherwise?

 
St. Louis Bob said:
Link

...

Cancer incidence, except for lung cancer, was the same in all three groups. Obese people had the most diabetes, and healthy people had the most strokes. Ultimately, the thin and healthy group cost the most, about $417,000, from age 20 on.

The cost of care for obese people was $371,000, and for smokers, about $326,000.

...
Is this because they don't last as long?
 
Apparently money no longer has any time value.
If you can explain how that is relevant for this issue, I'd love to hear it.
isnt it quite simple?if it costs 417,000 bucks to treat a healthy person till death and and 371/326 for obese and smokers, the difference is that the cost per year of life is less for that of a healthy person.

what would you rather do, pay 371,000 over 30 years or 417,000 over 40, 45, 50 years

either that or Iam stupid :goodposting:
$/Yr has nothing to do with time value. Chase is arguing that we're spending the money on the obese/smokers sooner than we are on "healthy" people. That may be true if we're comparing one smoker or one obese person vs. one "healthy" person of the same age. But the fact is were spending $$ today on the obese, smokers and the "healthy." So the time value factor is not an influence on the overall cost comparison.
No, I was thinking time value should matter too and it's not clear from the article if it was considered or not. You would think it was, because it's just so obvious and elementary. Also, cost aside, the study failed to assign a "cost" to the lost productivity of a smoker or obease person dying at 70 or whatever vs. 80. That's 10 years of lost value from a person/employee/business owner/ or whatever and factoring in those "costs" it's not even close. It's expensive to smoke or be obease because of the opportunity costs.
If it's so obvious and elementary could you explain it to us?And why would the "cost" of lost productivty be relevant when we're talking about health care costs.

Even if it was, do you really want to hang your hat on the "productivity" of people in their 70s and 80s, healthy or otherwise?
I get your point about restricting this to raw medical costs but an article like this creates a false notion that medical costs are the only concerns when discussing these issues. The obese and smokers are generally less productive in their younger years too, not just when they turn 70+. The fact that their is a societal cost beyond the medical should be noted before the fatties and lungers start running amok and killing all the healthy people to save money on health care.
 
Apparently money no longer has any time value.
If you can explain how that is relevant for this issue, I'd love to hear it.
isnt it quite simple?if it costs 417,000 bucks to treat a healthy person till death and and 371/326 for obese and smokers, the difference is that the cost per year of life is less for that of a healthy person.

what would you rather do, pay 371,000 over 30 years or 417,000 over 40, 45, 50 years

either that or Iam stupid :goodposting:
$/Yr has nothing to do with time value. Chase is arguing that we're spending the money on the obese/smokers sooner than we are on "healthy" people. That may be true if we're comparing one smoker or one obese person vs. one "healthy" person of the same age. But the fact is were spending $$ today on the obese, smokers and the "healthy." So the time value factor is not an influence on the overall cost comparison.
No, I was thinking time value should matter too and it's not clear from the article if it was considered or not. You would think it was, because it's just so obvious and elementary. Also, cost aside, the study failed to assign a "cost" to the lost productivity of a smoker or obease person dying at 70 or whatever vs. 80. That's 10 years of lost value from a person/employee/business owner/ or whatever and factoring in those "costs" it's not even close. It's expensive to smoke or be obease because of the opportunity costs.
If it's so obvious and elementary could you explain it to us?And why would the "cost" of lost productivty be relevant when we're talking about health care costs.

Even if it was, do you really want to hang your hat on the "productivity" of people in their 70s and 80s, healthy or otherwise?
I get your point about restricting this to raw medical costs but an article like this creates a false notion that medical costs are the only concerns when discussing these issues. The obese and smokers are generally less productive in their younger years too, not just when they turn 70+. The fact that their is a societal cost beyond the medical should be noted before the fatties and lungers start running amok and killing all the healthy people to save money on health care.
Link?
 
Apparently money no longer has any time value.
If you can explain how that is relevant for this issue, I'd love to hear it.
isnt it quite simple?if it costs 417,000 bucks to treat a healthy person till death and and 371/326 for obese and smokers, the difference is that the cost per year of life is less for that of a healthy person.

what would you rather do, pay 371,000 over 30 years or 417,000 over 40, 45, 50 years

either that or Iam stupid :unsure:
$/Yr has nothing to do with time value. Chase is arguing that we're spending the money on the obese/smokers sooner than we are on "healthy" people. That may be true if we're comparing one smoker or one obese person vs. one "healthy" person of the same age. But the fact is were spending $ today on the obese, smokers and the "healthy." So the time value factor is not an influence on the overall cost comparison.
No, I was thinking time value should matter too and it's not clear from the article if it was considered or not. You would think it was, because it's just so obvious and elementary. Also, cost aside, the study failed to assign a "cost" to the lost productivity of a smoker or obease person dying at 70 or whatever vs. 80. That's 10 years of lost value from a person/employee/business owner/ or whatever and factoring in those "costs" it's not even close. It's expensive to smoke or be obease because of the opportunity costs.
If it's so obvious and elementary could you explain it to us?And why would the "cost" of lost productivty be relevant when we're talking about health care costs.

Even if it was, do you really want to hang your hat on the "productivity" of people in their 70s and 80s, healthy or otherwise?
I get your point about restricting this to raw medical costs but an article like this creates a false notion that medical costs are the only concerns when discussing these issues. The obese and smokers are generally less productive in their younger years too, not just when they turn 70+. The fact that their is a societal cost beyond the medical should be noted before the fatties and lungers start running amok and killing all the healthy people to save money on health care.
Link?
Link
 
I am either an idiot, or this article doesn't make any sense. Are they really telling us that they have followed a specific group of people around for their entire lives and added up every medical cost they have acrued? This surely would've made news before this, considering they are talking about people reaching into their 80s.

There is no way you can do this by taking samples of people who are skinny or obese at different age groups. How many athletes are overweight today? How many become overweight afte their playing years? You can't do this study arbitrarily. Plus, many older people lose a lot of weight when they contract a certain disease. Does that put them in the thin and healthy category, or the obese category? Is someone who is malnurished considered thin and healthy? I know a few women with anorexia and they're thin as a rail, but I certainly wouldn't call them healthy despite them having 4% body fat.

Plus, considering how much of a role genetics plays into all of this, how can you take random samples without bringing family history into the equation.

 
I would like to propose another law.

All college students would be required to take Smoking/Big Mac 101. It would be a 3 credit hour class in which students would do nothing but smoke, eat Big Mac's and other fatty foods.

Not only would this help the health care system, it would help lower income people that can't afford college. According to studies, tobacco smoke is so addictive that the vast majority of these college students would become hooked and therefore become life long smokers.

Assuming these LI people are non-smokers and healthy, they would theoretically live longer. Thus there would be some equality in trading off length of life for income through out a person's life time.

 
I would like to propose another law.All college students would be required to take Smoking/Big Mac 101. It would be a 3 credit hour class in which students would do nothing but smoke, eat Big Mac's and other fatty foods.Not only would this help the health care system, it would help lower income people that can't afford college. According to studies, tobacco smoke is so addictive that the vast majority of these college students would become hooked and therefore become life long smokers.Assuming these LI people are non-smokers and healthy, they would theoretically live longer. Thus there would be some equality in trading off length of life for income through out a person's life time.
You've been doing lots of thinking about this, eh Bob? While you're at this, you might as well make all smokers and fatties raging alcoholics, too. I mean, why wait for death to sneak up on you with agonizing cancer and a gazillion other known diseases associated with both issues when you can beat it to the punch...you know...show 'em who is boss. :kicksrock:
 
While you're at this, you might as well make all smokers and fatties raging alcoholics, too.
Great idea!Although none of this will guarantee people will die younger. My Unlce Jackie died last year at 86. He spent the last 25+ years at the bar. I mean EVERY DAY at the bar. He also smoked about 4 packs a day.So there are no guarantees.I say we try it though. I think the worst case scenario is that more people will get laid on a more regular basis.
 
While you're at this, you might as well make all smokers and fatties raging alcoholics, too.
Great idea!Although none of this will guarantee people will die younger. My Unlce Jackie died last year at 86. He spent the last 25+ years at the bar. I mean EVERY DAY at the bar. He also smoked about 4 packs a day.

So there are no guarantees.

I say we try it though. I think the worst case scenario is that more people will get laid on a more regular basis.
Isn't that a best case scenario :rolleyes:
 
I would like to propose another law.

All college students would be required to take Smoking/Big Mac 101. It would be a 3 credit hour class in which students would do nothing but smoke, eat Big Mac's and other fatty foods.

Not only would this help the health care system, it would help lower income people that can't afford college. According to studies, tobacco smoke is so addictive that the vast majority of these college students would become hooked and therefore become life long smokers.

Assuming these LI people are non-smokers and healthy, they would theoretically live longer. Thus there would be some equality in trading off length of life for income through out a person's life time.
Why wait so long to start? I say start handing out free cartons at the middle school level.
 
I would like to propose another law.All college students would be required to take Smoking/Big Mac 101. It would be a 3 credit hour class in which students would do nothing but smoke, eat Big Mac's and other fatty foods.
You've been doing lots of thinking about this, eh Bob? While you're at this, you might as well make all smokers and fatties raging alcoholics, too.
You don't need a law to make college students become raging alcoholics.
 
Doesn't surprise me at all. All them granola munching mountain bikers limping into the doctor every time they strain their vulva doing pilates.

 
Surprisingly, people who were decapitated on their 20th birthday were the cheapest to treat out of the study group.

 
The reality is, whether we like to admit it or not - that we as a society are biased against the crapper busting fatties. They disgust us. The current environment - using cost as a rationalization of our bias - allows us to be bigots - "for the public good". End of the day, most people don't give a good goshdarn about some CBF's health, know perfectly well that the economic argument is a sham - they just can't stand the sight of them; Think they're lazy and weak and digusting.

- And that's all based on looks alone. - Which my friends is simply bigotry - the last acceptable bigotry, but bigotry nonetheless. :angry:

 
Isn't that a best case scenario :shrug:
There will probably be more fights too, but that is always entertaining, so win-win!
thank you. Also, they should be using money spent/years paying taxes anyhow.

Ridiculous article.
Sucks being wrong all the time doesn't it?
Doesn't surprise me at all. All them granola munching mountain bikers limping into the doctor every time they strain their vulva doing pilates.
:) :lmao: :lmao:
- And that's all based on looks alone. - Which my friends is simply bigotry - the last acceptable bigotry, but bigotry nonetheless. :thumbup:
Don't forget smokers.My ongoing proposal will eliminate these bias's as well as drastically lower the amount spent on health care.

I am currently in discussions to save this country from thecurrent economic downturn.

How? Fatties will get a one time check cut for $46,000 while smokers will get $91,000.

Now that will stimulate the economy.

 
That factors in only medical costs, but total costs is another story. The longer the live the more money you make. The healthier you are the more money you make. THe more money you make the more taxes you pay. THe longer you live the more health insurance you pay.

So, even though healthy people live longer than unhealthy ones, the total benefit of staying healthy pays back towards the costs of treating someone over that lifetime. I don't know how much, but it certainly does.

Obese people and smokers are likely to have more health problems at a younger age, require more money over a smaller period of time, miss work more often, and pay insurance and taxes for fewer years than healthy people.

 
I think a lot of people are misunderstanding the article. It's not advocating smoking. It's just saying that a smoker is cheaper to give health care to than a non-smoker.

It's relevant when, for example, state governments try to sue Marlboro to recover the "increased" (read: decreased) Medicaid costs associated with smoking.

 
That factors in only medical costs, but total costs is another story. The longer the live the more money you make. The healthier you are the more money you make. THe more money you make the more taxes you pay. THe longer you live the more health insurance you pay.
Boy, lots of generalizations there. Generally, incomes drop like a friggin stone after 55-60. Some 70 y.o. geezer living the next 30 years in a nursing home costs one HELL of a lot of money. - Not to mention all the inherent health issues that come in your declining years. And, I'm not really sure where the heck you came up with the healthier you are the more money you make. But there's a crapload of super-fit bartenders, waiters/waitresses & others who pay little or no taxes, pay no insurance premiums, who make & contribute diddly to the system - but invariably end up in the ER at least twice a year for any number of reasons. Their patrons that they serve? May pay taxes & insurance premiums for 40 years - and drop dead of a heart attack. Bottom line, the economic argument is a stupid one. You're going to find perfectly healthy 9 year olds with Leukemia who tax the system far more in their first 20 years of life than 20 CBF's do for their entire life. - And arguments the other way as well. There's a lot of compelling reasons for wanting to curb obesity. The economic argument is perhaps one of silliest.
 
I think a lot of people are misunderstanding the article. It's not advocating smoking. It's just saying that a smoker is cheaper to give health care to than a non-smoker.It's relevant when, for example, state governments try to sue Marlboro to recover the "increased" (read: decreased) Medicaid costs associated with smoking.
No, it's not really cheaper.
 
I think a lot of people are misunderstanding the article. It's not advocating smoking. It's just saying that a smoker is cheaper to give health care to than a non-smoker.It's relevant when, for example, state governments try to sue Marlboro to recover the "increased" (read: decreased) Medicaid costs associated with smoking.
It's a little unclear exactly what it's referring to when the first part of the article says this:
Preventing obesity and smoking can save lives, but it doesn't save money, researchers reported Monday. It costs more to care for healthy people who live years longer, according to a Dutch study that counters the common perception that preventing obesity would save governments millions of dollars.
My point is that the government is funded by taxes, which are paid by people who work or generate income. Not to take into account the return of healthy people over unhealthy people is to get an unduly show the cost of healthy people vs unhealthy people.I understand the study showed that the health costs for healthy people were more than for unhealthy people, but when we're talking about government programs and in decisions with regards to whether or not they should try to reduce obesity or smoking, I think you can still make an economic argument, when all other factors are taken into consideration.
 
The reality is, whether we like to admit it or not - that we as a society are biased against the crapper busting fatties. They disgust us. The current environment - using cost as a rationalization of our bias - allows us to be bigots - "for the public good". End of the day, most people don't give a good goshdarn about some CBF's health, know perfectly well that the economic argument is a sham - they just can't stand the sight of them; Think they're lazy and weak and digusting.
Sometimes generalizations are correct. People generally don't get fat by eating right, hitting the gym and maitaining a relatively healthy lifestyle now do they?
 
That factors in only medical costs, but total costs is another story. The longer the live the more money you make. The healthier you are the more money you make. THe more money you make the more taxes you pay. THe longer you live the more health insurance you pay.
Boy, lots of generalizations there. Generally, incomes drop like a friggin stone after 55-60. Some 70 y.o. geezer living the next 30 years in a nursing home costs one HELL of a lot of money. - Not to mention all the inherent health issues that come in your declining years. And, I'm not really sure where the heck you came up with the healthier you are the more money you make. But there's a crapload of super-fit bartenders, waiters/waitresses & others who pay little or no taxes, pay no insurance premiums, who make & contribute diddly to the system - but invariably end up in the ER at least twice a year for any number of reasons. Their patrons that they serve? May pay taxes & insurance premiums for 40 years - and drop dead of a heart attack. Bottom line, the economic argument is a stupid one. You're going to find perfectly healthy 9 year olds with Leukemia who tax the system far more in their first 20 years of life than 20 CBF's do for their entire life. - And arguments the other way as well. There's a lot of compelling reasons for wanting to curb obesity. The economic argument is perhaps one of silliest.
The article doesn't speak about the economic argument. It simply focuses on health care costs. There was no analysis of the total economic impact of healthy people vs unhealthy people. Again, I'd expect healthy people to contribute more to the economy than unhealthy people.However, if you include things like the taxes smokers pay, that might make it interesting. I'd love to see a study that builds on this one, that finds average incomes for healthy people vs unhealthy people, the amount of taxes they pay, the amount of work/productivity each achieves, and the average age at which each retire or have to leave for medical reasons. THAT study would make a much more compelling economic or government argument, on a macro scale.
 
Apparently money no longer has any time value.
Seriously. The obese/smoking patient costs more PER YEAR than the healthy patient.
Cost per year x Years of Life is the equation you're solving for. If we go with your route, we should force sterilization because childbirthing & newborn care are more expensive in year one than any other demographic. :D
Hmmm...Throw that out because EVERYONE gets birthed and is a newborn. :shrug:
 

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