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An Open Letter to Those Who Judge the Morality of Health

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Arwyn from Raising My Boychick has a post up now about whether or not people have a moral obligation to strive for health.

It got me thinking.

I am the child and sister of addicts and the only really fat person in my large family.  I've found myself sometimes in the strange situation of being talked to about my health for my own good by people who are thinner, but obviously less physically healthy than I am.

I thought I'd write a little primer for anyone who finds themselves uncontrollably offering moral judgment on other people's health. These are things that I've often wished certain people I love understood. Feel free to pass this on to anyone in your life who feels they have a right to moralize your health.

* * *

To Whom My Health May Concern:

You may believe that we both have moral obligations when it comes to my health. Mine, to upgrade to some health level that can only come with thinness and yours, to let me know that I'm not healthy (whether or not I actually am.)

When you treat what you consider another person's lack of health as a moral failing, you contribute to any health problems they may have. Always. Without exception. Spend some time asking yourself whether or not you have a moral obligation to avoid damaging another person with your tough love.

If you are truly concerned about someone's health, then it is counterproductive to that concern for you to place a moral judgment on their bodies, on their health or on their lives. This causes stress and anxiety, a feeling of isolation and possibly self-loathing. None of these things ever made anyone healthier.

There is a theory that there are two kinds of love: demonstrative and verbal. People need both and, interestingly, one leads to the other in both directions. If you verbalize your love and appreciation for someone, you're likely to get demonstrations of their love for you in return. If you demonstrate your love for someone, you're likely to hear verbal declarations of their love for you in return.

This theory works when it comes to moralizing health as well. If you want someone to demonstrate that they love themselves and you (or someone else) enough to care about their health, tell them you love them. Be unconditional about it: I love you, or I love spending time with you, or I think you're pretty awesome. Not: I love you, but I'm worried that you're going to die from all the fat. And really not: I love you, but I don't want to spend my tax money on your health care.

If you want to help another person find the capacity to love themselves, start by demonstrating how much you love them. Spend time with them. Let them know that their presence in your life is precious to you by enjoying it. Again, be unconditional. Don't slip them disapproving looks or make little comments that you couch in a helpful tone.

Before you open your mouth to suggest that someone has a moral obligation to health, realize that you don't know that A) they are in ill health and B) they aren't already doing what they can to build health. Being a big fat fatty does not always mean that someone is unhealthy. Conversely, being thin doesn't mean that someone else (you?) are automatically healthy. Trust that whoever you're looking at will ask your opinion about their health if they need or want it--the same as you would do to them.

If you don't know the person you find yourself judging, then work on not assuming that they are unhealthy on appearance alone. You may be wrong. Trust that their doctors or someone to whom their health actually matters will look after them if they need it.

If you do know the person, offer unconditional love and support. If you are concerned that they don't care about their own health, give them a reason to want health for themselves, rather than trying to force it down their throats for their own good.

If someone you care about really is unhealthy and you're sure that your concern isn't

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JohanaSmith 5 pts

There are not so many fat persons that fill good in their bodies. Even more I no few people that believes that if you are not thin you are not healthy: physically an mentally. So I really have to congratulate you for this attitude!

Johana
http://originaldiets.blogspot.com

justlinda 9 pts

I don't think medical professionals are soft-stepping the topic. I think they pass harsh judgments, often based upon not understanding as much as they should about obesity if they are going to treat patients with it.

There are many studies about discrimination against the obese in the medical profession. And this is especially concerning because the effect of this mishandling is that the patients avoid seeking the care they need because of shame or embarrassment or just as a way to maintain their basic human dignity.

You seem to think that the "tough love" approach is the right one. I've been obese all of my adult life, and while my experiences are anecdotal and not statistically significant, I will tell you the medical professionals who HELPED me instead of sending me packing were the ones who treated me with dignity and respect and compassion and who were open to the truths about my situation that may go alter to the prevailing "lazy, gluttonous sloth looking for a magic pill" school of thought.

Those kinds? The tough-love ones that work so hard not to sugarcoat things? They make things worse for many.

But I suppose everyone needs to feel superior to someone else. It seems to make the world go 'round. (That was sarcasm. I'm in a rotten mood.)

( http://justlinda.net )JustLinda

fabulously imperfect

Twitter @JustLindaSTL

HollyCS 5 pts

This is obviously an issue that means a lot to you and I am sorry if you have been hurt by unkind words but as a healthcare professional I feel an obligation to chime in. People don't take obesity/overweight seriously in this day and age and it has become an epidemic. I am getting that notion from your profile. You say "Health is about fitness not weight". You are wrong. Health is about fitness AND weight. But yes, you certainly can be an athlete if you want to be and your goals will only be reached faster without carrying around excess pounds. I think professionals and family members don't intend to be unkind but are so often met with outright refusal to acknowledge the effects of obesity that they become frustrated and jaded.

I agree that a thin person is not necessarily healthy because they are thin but an overweight person is ALWAYS less healthy because of the added weight. There is a positive correlation between the amount of excess weight and the degree of ill health. The overweight person may not have developed a chronic condition yet but they are at drastically increased odds to develop problems in the future.

http://www.cdc.gov/obesity/causes/health.html
http://www.who.int/mediacentre/factsheets/fs311/en...

You also say that doctors look after overweight people if they need it. That is often not the case. Our society is quick to quietly judge an overweight person and make snarky comments behind their back but to sugar coat the problem and call them ‘curvy’ to their face. Doctors are no exception. Trust me, I work with them and they are not eager to counsel people about their weight problem. They are also busy trying to take care of the patient’s main complaint and figure out what pill to prescribe. I’m not saying this is right but it's how things are right now. Doctor’s also do not typically put much emphasis on prevention and are unlikely to discuss weight, exercise, drinking, or smoking habits. Has your doctor ever tried to counsel you about any of these things? I'm talking a serious, lengthy conversation that results in a goal and clearly outlined steps to reach said goal? Has your doctor even asked about these things?
http://www.cdc.gov/healthyweight/calories/index.ht...

Slenderness does come easy to some people but not to every person who is slim. It does not come easily to me so I workout 6 days a week doing heavy cardio (running, cycling, dance classes) and weight lifting 4x per week. I also make a trip to the grocery store 2x per week to stock up on fresh fruit and veggies. I eat fast food a handful of times each year at most. Even those people who are slender naturally need to get their butts to the gym. Though they don’t carry a lot of fat on their hips, butt, abs etc. they are at increased risk of cardiovascular disease if they don’t do regular cardio. They are also at increased risk of losing muscle if they don’t maintain some sort of weight lifting routine.

I can see that you are active from your profile and that's awesome. However, I really encourage you to also shed some pounds if your BMI is not within the normal range.

jennifer.watson 5 pts

Love this post. So well written and thoughtful.

Confession: I'm envious....wish I had written this!

liveoncejuicy 5 pts

Thanks so much for reading, everyone :)

Come check out my self-publishing experiment at We Are the Freaks ( http://wearethefreaks.wordpress.com/ ).

Nobody wants to be Ethel 5 pts

The Patty Beat can be found at  http://pattyabr.wordpress.com ( http://pattyabr.wordpress.com/ ) where The Fearless Cook resides ready to take on your most feared items in the kitchen.

justlinda 9 pts

And perhaps those in the medical profession who bestow upon us their judgmental disdain should have their own letter. I have faced doctors who treated me with dignity and respect, and I have had doctors who have treated me like a lying liar who lies and who could hardly hide their judgment. The problem there is that such attitudes often chase overweight people away from the medical care they need.

(I may still be a little bitter over one doctor, but he's long retired now.)

( http://justlinda.net )JustLinda

fabulously imperfect

Twitter @JustLindaSTL

leahkalish 5 pts

just want to thank you for your heart-felt letter that I believe speaks the truth to everyone about anything they judge in another. Everyone's "issues" are an expression of something deeper that seeks healing. To actually help, one must see and come from that understanding with love. The heart does not exclude, which is what judgment does. The heart embraces and holds another in a space where greater health can flow and innate wisdom can be accessed.

dianaelee 5 pts

Hear, hear! Extremely well put and much appreciated.

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