This is severely lacking in empathy.
You know WHY they are obese, especially including the woman featured here? Junk food is dirt cheap. When you work your ass off for two weeks and have all of $200 dollars to show for it, you are not going to be cooking healthy foods and free range Chicken eggs. You are going to get the cheap stuff, the highly caloric, highly processed stuff. And guess what, she works at McDonalds, which gives employees some food every 5 hours worked.
Or if you don't work there, you can hit a Taco Bell and fullfill your hunger with $5. $5 may be enough to get ingredients to cook a better meal, but again, this person works her ass off in multiple jobs and has a long commute by bus.
If you work there, it is. But I was talking about Taco Bell for non McDonalds workers, which IS cheap.
Your groceries list again is assuming there is enough time(and energy) to prepare the food.
Which includes: 1) Owning a pan 2) Owning a cooking surface 3) Selecting, cleaning, and cutting vegetables 4) Dishes, or owning a dishwasher
vs 1) access to food 2) access to disposal of wrapping material
> Which includes: 1) Owning a pan 2) Owning a cooking surface 3) Selecting, cleaning, and cutting vegetables 4) Dishes, or owning a dishwasher
It's also worth noting that food deserts are a thing, and they make it much more difficult to eat healthily.
Not everyone has the same boundaries for that situation.
Can you use the cracked pepper that someone else bought? People have different opinions on that.
If economics and policy actually worked, there would be regulatory feedbacks, but not in 'murica
Now imagine an anorexic woman who recovers, but she overcorrects and ends up overweight in the eyes of her anorexic friends. They shame her for overeating and she tries to eat less, which puts her adipose cells under stress. Is it possible that she'd keep gaining weight from the stress of undereating? If it's impossible, how do you know? If it's not impossible, should we blame anorexics the same way we blame people with habits that you think are bad?
It's also as much portion size and controlling intake of fries and soda as it is about the food items themselves. Adding a large coke to any meal is probably worse than the food itself. 80g of sugar with no nutrition or fiber.
I'll give you that its a low source of nuts and unbreaded fish. But if we are talking about working at McDonalds and not having meal prep time, that could be supplemented by bags of almonds, pistachios, peanuts, cashews, sunflower seeds, pumpkin seeds, and cans of tuna, salmon, and sardines at home.
That leaves dark veggies. Their bacon ranch salad says its "romaine, baby spinach, baby kale, red leaf lettuce, ribbon-cut carrots and grape tomatoes." Youd probably want to supplement some cooked greens at home.
Being able to buy the above food at 50% off would, imho, be a great foundation to a healthy diet, if you can control portion and avoid temptation.
What you're saying is true, but that's not what everyone believes. If you watch any episode of My 600 Pound Life, you will realize just how unwilling some of these people are to help themselves because it's hard work (and many people featured on the show die as a result). Yes, those are obviously extreme examples, but they're all extremely well documented.
I absolutely agree we should focus on taking care of ourselves before it leads to enormous health issues, but weirdly it doesn't seem the US healthcare system is designed for that.
Please don't use point-and-gawk trash TV shows to make generalizations about the world.
[1] The network of "Here Comes Honey Boo Boo" fame
Anyway, I concede it's a bad talking point for the point I was making.
EDIT: On second thought, my original comment is such a tangent I probably should not have made it. While I may disagree with some of the details of your reasoning, I agree with your overall point.
That's true. Your average interaction with a physician in the US to a 20 minute conversation while they fill out some forms in Epic, barely paying attention, then kick you out of their office as quickly as possible. A month or more later the bureaucratic machines of both hospital and insurance finally get around to sending you a bill for $250+.
Doctors should be paid for how healthy their patients are, not for continuing treatments of the chronically ill.
So my rheumatologist gets nothing for continuing to monitor and advise and prescribe treatment for my arthritis? Which isn't exactly something I can willpower away...
I don't like you.
In truth the change I was hoping for would happen at a slightly higher level than an individual doctor. More "health system" or municipal healthcare group.
I wasn't suggesting "willpower", nor making claims about your particular situation. I have observed cases where doctors are more willing to prescribe ongoing medications for chronic conditions, rather than investigating more holistic solutions to help alleviate symptoms. Arthritis symptoms can often be greatly reduced by diet or lifestyle changes. If your doctor helps you test and implement those – great! I've seen many cases where they don't, and my point is that they're not incentivized to do so.
How would you suggest a typical American HN reader go about effecting change?
Their two flagship projects (GetCalFresh and Criminal Justice) reform both started off as simple web forms to make it easier to file for SNAP (food stamps) and sealing eligible marijuana convictions respectively. However as they gained traction they were able to engage state and local governments as collaborators and significantly improve the outcomes.
For the criminal justice work that meant fully automating sealing convictions in San Francisco, that then provided the “proof” for a state bill that passed to require all California counties to do the same over then next few years.
So while it seems like getting money out of politics is impossible I’d suggest working on stuff you care about at your state level, and providing working proofs will help people trying to support sensible legislation for reform.
You can't fix everything with a website.
Or pre-wrote everything one needs to complain to the regulator about a bull-shit charge and get their $ back.
It certainly takes a certain mindset to take advantage of the above, but making it easier encourages it.
The above are two things I’ll be publishing tonight. There’s a few hundred thousand people in my mom’s town that suddenly have a decent internet option.
If you're not sure where to start, try researching local candidates that share your views and find out which organizations endorsed them.
If you really want change, then you need to somehow climb the ladder of power and enact the changes yourself. Unfortunately, if you take the political or corporate path, you will most likely be so disillusioned by the time you get anywhere that you will join the other side.
You can also become a revolutionary of sorts, by leading others through your charisma or prose.
Of course none of these are anything a "typical" person can do, but in fact, a "typical" person really has no power whatsoever unless someone atypical manages to organize them together.
Healthcare is mentioned exactly one time in the article.
> At 29, Brown works approximately 40 hours a week, splitting her time between a McDonald’s in Durham, North Carolina, and a food-service gig a local hospital. “It’s still not enough,” she said. Both jobs are part-time, and she doesn’t receive health insurance through either employer. She can’t afford insurance on her own, either. That’s a problem since Brown is diabetic, and she has to pay for her medical expenses out of pocket. She’s trying to do all she can on her own—she receives no food stamps or other assistance, she notes—but it rarely feels like she’s doing enough.
Seems affordable. What am I missing here?
Sadly, I think the most cost effective approach is often not to use insurance at all but instead go to the free / community clinics which could provide a subset of care at a lower price.
So that isn't it. Any other guesses?
https://www.irs.gov/affordable-care-act/individuals-and-fami...
40 * 4 * 9.50 = $1520
370/1520 = 25% of your GROSS income to stay alive. She doesn't pay $370 a month in taxes, and the tax credit doesn't come out of Social Security tax, which is her largest tax.
As other posters have said, bronze doesn't buy you much - but I can't understand why she can't afford it if it is $0 out of pocket.
I know people who have been in this position: just because you read something on a website doesn't make it necessarily true.