Marketplace

Search

Monday, July 27, 2009

Listen to the show

Using cash incentives to combat obesity

Overweight man walking

A new study shows that obesity-related problems account for nearly 10% of U.S. health-care spending. But a measure in the Senate health-care bill may offer workers attractive incentives to get fit. Sarah Gardner reports.

Overweight man walking. (GREG WOOD/AFP/Getty Images)

More on Health

TEXT OF STORY

Kai Ryssdal: Today was a mercifully quiet day in Washington's health-care debate. The conversation about costs and coverage will no doubt begin again tomorrow. In the meanwhile, today the journal Health Affairs put a price tag on one of the most expensive medical issues out there. Obesity-related problems now account for nearly 10 percent of U.S. health-care spending -- $147 billion a year. Marketplace's Sarah Gardner reports.


SARAH GARDNER: Doctor Steven Mittelman treats obesity at Children's Hospital in Los Angeles. He says the patients are getting younger all the time.

STEVEN MITTELMAN: We're seeing toddlers and babies, even, that are overweight. And we don't even know what the implications of that is going to be.

According to this study, the obesity rate in the U.S. shot up 37 percent between 1998 and 2006. Just to be clear, we're using the government's definition of obesity -- a 5-foot-9 adult weighing over 203 pounds, for example. Health economist Eric Finkelstein at RTI International helped conduct this research. He says our love of cheap fast food isn't the only problem.

ERIC FINKELSTEIN: In our leisure time physical activity now has to compete against a whole host of new, pretty cool sedentary activities like the Internet, computer games and so on.

Health-care spending now averages $1,400 more a year for obese patients. That includes the costs of drugs for everything from diabetes to high blood pressure. Finkelstein says the U.S. will never tackle rising health-care costs unless it treats its collective weight problem. He says their research shows cash incentives may help.

FINKELSTEIN: We published a paper that shows that if you pay individuals $7 a pound, you can get the type of weight loss that's traditionally seen through off-the-shelf weight- loss programs.

In fact, the Senate health-care bill contains a measure that gives workers potentially huge discounts on their insurance premiums if they lose weight or participate in other wellness programs.

I'm Sarah Gardner for Marketplace.

Comments

  • Comment | Refresh

  • By Joseph Nielsen

    From San Antonio, TX, 07/28/2009

    Only ten percent of medical schools require their physicians to have nutrition education. Does that match up?

    By hsr0601 hsr0601

    07/27/2009

    In case the health care reform provides the general public with peace of mind, the rising mental stress or illness caused by financial instability may bend the curve surprisingly,
    in combination with kicking out the 'keep eating habit' to forget the deep-seated instability and apprehension, I guess.
    'Work or Break' health system with no brake or safety system might be one of the biggest hidden causes of mental stress, obesity or overweight threatening the overall economy, I cautiously suppose.

  • Post a Comment: Please be civil, brief and relevant.

    Email addresses are never displayed, but they are required to confirm your comments. All comments are moderated. Marketplace reserves the right to edit any comments on this site and to read them on the air if they are extra-interesting. Please read the Comment Guidelines before posting.

    * indicates required field

    *
    *
    *
     




     

    You must be 13 or over to submit information to American Public Media. The information entered into this form will not be used to send unsolicited email and will not be sold to a third party. For more information see Terms and Conditions and Privacy Policy.

Music From This Show

  • Sister Europe Psychedelic Furs Buy
  • Stoner Jam Blood in the Water Buy
  • Gone to Earth American Analog Set Buy
  • He Lays in the Reins Iron and Wine Buy

The Specials

GAME: Budget Hero

Budget Hero

Think you could balance the federal budget? Play the game.

Conversations from the Corner OfficeTM

Conversations From the Corner Office

Marketplace goes one-on-one with CEOs, company founders, head honchos...

Sit in.

BLOG: The Greenwash Brigade

Environmental professionals scrutinize eco-friendly claims by businesses, governments and groups. Check out their reports.

Marketplace on iTunes U

iTunes U

Marketplace is on Apple's online education platform, iTunesU. Get free downloads in subjects like history, science, business and more. Study up

American Public Media © |   Terms and Conditions   |   Privacy Policy