
Junk-Food JihadShould we regulate French fries like cigarettes?
Posted Saturday, April 15, 2006, at 7:31 AM ETGoodbye, war on smoking. Hello, war on fat.
In a span of two months, smoking bans have been imposed in Scotland, enacted in England, Denmark, and Uruguay, proposed by the government of Portugal, and endorsed by the French public. China has banned new cigarette factories. In Virginia, our third most prolific tobacco state, senators voted to ban smoking in nearly all public places. The Arkansas legislature, backed by a Republican governor, passed a similar ban and voted to extend this policy to cars in which a child is present. Tobacco companies have won a skirmish here or there, but always in retreat.
So, we've found a new enemy: obesity. Two years ago, the government discovered that the targets of previous crusades—booze, sex, guns, and cigarettes—were killing a smaller percentage of Americans than they used to. The one thing you're not allowed to do in a culture war is win it, so we searched the mortality data for the next big menace. The answer was as plain as the other chin on your face. Obesity, federal officials told us, would soon surpass tobacco as the chief cause of preventable death. They compared it to the Black Death and the Asian tsunami. They sent a team of "disease detectives" to West Virginia to investigate an obesity outbreak. Last month, the surgeon general called obesity "the terror within" and said it would "dwarf 9-11."
How do we fight it? Everyone agrees on exercising and eating responsibly. The debate is over what the government should do. Health advocates want to restrict junk-food sales, regulate advertising, require more explicit labels, and ban trans fats (also known as partially hydrogenated oils), which are often put into crackers, cookies, and other products to prolong shelf life. They marshal the kind of evidence that won the war on smoking: correlations between soda, junk food, obesity, disease, and death. Lawyers who made their fortunes suing tobacco companies are preparing suits against soda companies. Two months ago, when President Bush gave a health-care speech at the headquarters of Wendy's, activists compared the hamburger chain to Philip Morris. They see themselves as waging the same brave struggle, this time against "the food industry."
But somehow, "the food industry" doesn't sound quite as evil as "the tobacco industry." Something about food—the fact that it keeps us alive, perhaps—makes its purveyors hard to hate. For that matter, the rationale for recent bans on smoking is the injustice of secondhand smoke, and there's no such thing as secondhand obesity. Last year, a Pew Research poll found that 74 percent of Americans viewed tobacco companies unfavorably, but only 39 percent viewed fast-food companies unfavorably. This week, a Pew survey found that more Americans blame obesity, especially their own, on lack of exercise and willpower than on "the kinds of foods marketed at restaurants and grocery stores."
These obstacles don't make the assault on junk food futile. But they do clarify how it will unfold. It will rely on three arguments: First, we should protect kids. Second, fat people are burdening the rest of us. Third, junk food isn't really food.
Targeting kids is a familiar way to impose morals without threatening liberties. You can have a beer or an abortion, but your daughter can't. The conservative aspect of this argument is that you're entitled, as a parent, to decide what your kids can do or buy. That's the pitch Sen. Tom Harkin, D-Iowa, made last week in a bill to crack down on junk food in schools. The liberal half of the argument is that kids are too young to make informed choices. In this case, it's true. Studies show that little kids ask for products they see on television; fail to distinguish ads from programs; and are heavily targeted by companies peddling candy, fast food, and sugared cereal.
This stage of the fat war will be a rout. In schools, the audience is young and captive, and the facts are appalling. According to a government report, 75 percent of high schools, 65 percent of middle schools, and 30 percent of elementary schools have contracts with "beverage"—i.e., soda—companies. The sodas are commonly sold through vending machines. The contracts stipulate how many thousands of cases each district has to buy, and they offer schools a bigger cut of the profits from soda than from juice or water. Soda companies, realizing they're going to lose this fight, are fleeing elementary schools and arguing that high-schoolers are old enough to choose. But health advocates refuse to draw such a line. They're not going to stop with kids.
To keep junk food away from adults, fat-fighters will have to explain why obesity is the government's business. Some say the government created the problem by subsidizing pork, sugar, cream, high-fructose corn syrup, and other crud. Harkin reasons that the government pays for school lunches and must protect this "investment." But their main argument is that obesity inflates health-care costs and hurts the economy through disability and lost productivity. Last month, former President Clinton, a confessed overeater, told the nation's governors that obesity has caused more than a quarter of the rise in health-care costs since 1987 and threatens our economic competitiveness. It's not our dependence on foreign oil that's killing us. It's our dependence on vegetable oil.
If the fat-fighters win that argument, they'll reach the final obstacle: the sanctity of food. Food is a basic need and a human right. Marlboros won't keep you alive on a desert island, but Fritos will. To lower junk food to the level of cigarettes, its opponents must persuade you that it isn't really food. They're certainly trying. Soda isn't sustenance, they argue; it's "liquid candy." Crackers aren't baked; they're "engineered," like illegal drugs, to addict people. Last year, New York City's health commissioner asked restaurants to stop using trans fats, which he likened to asbestos. But he ignored saturated fats, which are equally bad and more pervasive. Why are trans fats an easier whipping-cream boy? Because they're mostly artificial.
This, I suspect, is where the war will end. Ban all the creepy-soft processed cookies you want to, but respect nature and nutrition. New York City is purging whole milk from its schools, despite the fact that milk has steadily lost market share to soda during the obesity surge. A fact sheet from Harkin implies that schools should treat milk, French fries, and pizza like soda, jelly beans, and gum. Come on. How many people died in the Irish jelly bean famine? How many babies have nursed on 7-Up? How many food groups does gum share with pizza? If you can't tell the difference, don't tell us what to eat.
A version of this article also appears in the Outlook section of the Sunday Washington Post.













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Remarks from the Fray:
I'm not exceptionally impressed by the "cost to society" argument. A person who does not die of lung cancer or clogged arteries is a person who will live longer, therefore placing more of a burden on his pension system, his family, and Social Security. And then he'll get sick some more and eventually die from something else, all which might be a good deal more expensive to deal with and more burdensome on the system. If you run the numbers dispassionately, from a pure cost-effectiveness standpoint it might well turn out be in society's best interest to use helicopters to drop free cartons of Marlboroughs on populated areas. (The trouble with Al Gore is that REAL policy wonks are not sentimentalists)
--dfs
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Hey - it's not the fat man's problem if when he slumps into the emergency department with early onset coronary artery disease, diabetes, etc., that he won't fit into the CT scanner, the techs can't find a vein for an IV, and the doc can barely read the Xrays because of the shadowing from his fat. Hell - he's practically a patriot for resisting the call to moderation and eating all those slices of pizza and gulping down all those liters of soda.
And, then, why he even has the damn decency to die off early so we don't have to pay him social security -- never mind that he wasn't nearly as productive in his working life as the non-overweight and that he was steadily flushing away health dollars the whole time he was alive anyway . . .
and believe me, your "numbers analysis" doesn't mean a whole lot when a medical procedure takes twice as long with three times the complications due to having to contend with the layers of fat . . .
--ER_doc
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That anyone who claims even a rudimentary education can say the food police sound and act like "communists" or "Marxist socialists" exhibits the failure of his education and the success of propagandists. Unless, of course, someone now contends the government should become the sole provider of food throughout the country. I suppose this ignorant notion that regulation equates to government ownership must make certain Republicans the equivalent of the Socialist Workers Deputies as they attempt to regulate immigration, access to legal abortion and who may do what to the flag.
--JLF
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There is growing evidence that changes in how we design where we live plays a role in the rise of obesity, especially physical activity and good nutrition. In traditional neighborhoods (square blocks, small lots with single-family homes, or more dense apartments) where people can easily walk or bike to shops, jobs, schools and entertainment, people _do_ walk and bike more. They get more exercise... and they are less obese.
--aerligtalt
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Obesity is a complex issue and not as simple as calories in/calories burned & food choice. If it were, the millions of the diets we do nationally would work always, and people wouldn't be doing them over and over again dozens of times in our lifetime. For most of us, dieting is an ingrained habit. As a fat person, I can tell you the difference between a protein and a carb, a trans fat & an unsaturated fat, which fruit has what vitamins and such. My slim partner has no clue and after 15 years together, still doesn't understand a simple vs. complex carb. I don't drink sugary sodas (haven't for 30 years) and I'm still fat. He still drinks them all the time and he's still a lean, mean, athletic machine at 50.
Teach kids healthy eating? Great! Give them healthier food choices at school? Great! Give new ways to be active? Great! Expect that to stop obesity? Stupid, ignorant & unrealistic!
--singpretty
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