Well, Now

Doctors Agree: Obesity is a Disease. The Public Needs to Catch Up.

We don’t blame a knee replacement on “lack of willpower.” Why does that change when we talk about weight?

Episode Notes

Ever since it showed up on the Body Mass Index, the label “obese” has been used to judge and often shame people with larger bodies.

Medical providers, family and friends, even strangers make assumptions about fat people’s health solely based on their size.

At the same time, excess quantities of fat can lead to poor health outcomes such as high blood pressure, heart disease, and diabetes.

Over the decades, medical associations have evolved their understanding of obesity. The American Medical Association, the National Institutes of Health, and the American Obesity Society all classify obesity as a disease requiring medical treatment.

How does that change the way medical providers care for their obese and overweight patients? And does that mean people with fatter bodies can now face less discrimination?

As a part of a series of ongoing conversations on Well, Now on weight and health, we discuss the current medical definition of obesity and how to treat it with Dr. Angela Fitch, former Associate Director of the Massachusetts General Hospital Weight Center.

If you liked this episode, check out: The Isolation of a Life-Threatening Diagnosis

Well, Now is hosted by registered dietitian nutritionist Maya Feller and Dr. Kavita Patel.

Editing and podcast production by Vic Whitley-Berry with oversight from Alicia Montgomery.

Send your comments and recommendations on what to cover to wellnow@slate.com

About the Show

We all want to achieve wellness, but how many of us have a clear understanding of what it is or how to measure it? Some believe it’s meeting a certain set of metrics around health. Others see it as becoming a more effective self-advocate when navigating our health challenges, or creating a balance in work, fitness, and family that promotes a sense of well-being. However we define wellness, we can all use advice from thoughtful people about how to find it for ourselves.

That’s the mission of Slate’s new podcast Well, Now. Each week our hosts, Maya Feller and Kavita Patel, will tackle a new issue around wellness, from the latest exercise craze, to the controversy over BMI, to the best ways to promote sleep hygiene. Every episode aims to give listeners a new understanding of wellness, and how to reach it.

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Hosts

  • Maya Feller is a registered dietitian and contributor to ABC’s Good Morning America, and an advisory board member for SHAPE and Parents. Her expertise can be found in the New York Times, Well+Good, and more. She is also the author of Eating From Our Roots: 80+ Healthy Home-Cooked Favorites From Cultures Around the World and based in New York City.

  • Dr. Kavita Patel is a D.C.-based primary care physician who has a rich background in health and health policy, having served the Obama administration and as a policy analyst to Sen. Edward Kennedy. She’s also a medical contributor for NBC News/MSNBC and a columnist for MSNBC.