Tag Archives: health care costs

The Cost of Obesity

imagesHealth care has been a hot topic for several years now, from the rising costs of health care and the hard working citizens who can’t afford it to the lack of quality of health care in this country.  As our top brass sit atop Capitol Hill and try to determine YOUR destiny in regards to health care, the unfortunate joke in all of this is that we as citizens and humans for that matter have had control over our destiny since the day we were born.  Problem is, we’ve just decided not to, and as a result, the cost of health care is growing exponentially with our waistlines.

Most of us are already aware that carrying extra weight increases the risk of diseases such as diabetes, heart disease and many types of cancer.  But consider some of these staggering statistics. If Americans continue to pack on pounds, obesity will cost the United States (you and me) about $344 billion in medical-related expenses by 2018, eating up about 21% of health-care spending. These calculations are based on the projection that in 10 years 43% of American adults may be obese, which is roughly 30 or more pounds over a healthy weight, if obesity continues to rise at the current rate.

“Obesity is going to be a leading driver in rising health-care costs,” says Kenneth Thorpe, chairman of the department of health policy and management at Emory University in Atlanta, Georgia. Thorpe did a special analysis on obesity for America’s Health Rankings, the 20th annual assessment of the nation’s health on a state-by-state basis. “There is a tsunami of chronic preventable disease about to be unleashed into our medical-care system which is increasingly unaffordable,” says Reed Tuckson of United Health Foundation, sponsor of the report with the American Public Health Association and Partnership for Prevention.  Using weight data, census statistics, and medical expenditure information, Thorpe found:

•An obese person will have an average of $8,315 in medical bills a year in 2018 compared with $5,855 for an adult at a healthy weight. That’s a difference of $2,460.

•If the percentage of obese adults doesn’t change but stays at the current rate of 34%, then excess weight will cost the nation about $198 billion by 2018.

•If the obesity rate continues to rise until 2018, then Colorado may be the only state with less than 30% of residents who are obese.

•More than 50% of the population in several states could be obese by 2018.  These states are Oklahoma, Mississippi, Maryland, Kentucky, Ohio and South Dakota.

The report adds to the growing body of evidence of obesity’s impact on medical costs. A study released in July 2009 showed that obese Americans cost the country about $147 billion in weight-related medical bills in 2008, double what it was a decade ago. It now accounts for about 9.1% of medical spending. Overall, the United States spends about $1.8 trillion a year in medical costs associated with chronic diseases such as diabetes, heart disease and cancer, and all three are linked to smoking and obesity, the nation’s two largest risk factors, according to the America’s Health Rankings report.

Smoking is still the number one preventable cause of death in the country, accounting for about 440,000 deaths annually, the report says.  About one in five Americans smoke. More than 3 million people quit smoking this past year. The percentage of people who smoke varies by state, from 9.3% in Utah to more than 25% in Kentucky, Indiana and West Virginia, the study says.  “This report is an urgent call to take much more aggressive action to deal with key disease risk factors such as obesity and smoking,” Tuckson says. Health economist Eric Finkelstein, co-author of The Fattening of America, says medical costs won’t go down unless Americans make a serious effort “to slim down by improving their diet and exercise patterns.”

Diet and exercise; it always seems to come down to those two things.  So what will it take for the country to realize that before we self-destruct?  Perhaps the real weapons of mass destruction are literally right beneath our noses.

Featured in February 2010 Issue of 422 Business Advisor

Making Strides in Corporate Fitness

landing_corporate_3Corporate fitness is on the move.  Rising health care costs (an estimated $330 billion dollars a year for private employers), an obesity epidemic, and an aging population are fueling the need for intervention and prevention.  As a result, more and more corporations nationwide are seeking and utilizing all that they can in an effort to protect their most precious stock – their employees.  From national campaigns to individual corporate programs, corporate fitness has become more serious than ever.  Here’s a look at how American companies are making strides in corporate fitness.

“With the price of health going up, employers can save money and provide benefits to their employees through a wellness program,” said Leah Tompkins, senior wellness coordinator for Sprint. As far back as 1989, a non-profit group known as the National Association for Health and Fitness (NAHF) organized the first National Employee Health and Fitness Day.  The program encourages employers nationwide to create healthier workplaces for their employees.  Originally started in response to the steady increase of health care costs, thousands of companies now participate in the day’s mission by organizing health fairs and employee walks. “While it’s a day to celebrate, it’s also a day to encourage year round strategic investment by employers in their human capital”, says Phil Haberstrol, executive director of the National Association for Health and Fitness.  “Health promotion programs are not a choice but rather a necessity in order to mange health care costs and increase productivity.”  The annual event which is now in its sixteenth year was held this past May 18th.  For more information about National Employee Health and Fitness Day or how to get your company involved, visit the NAHF website at www.physicalfitness.org.

National campaigns however are not always what work best for all companies.  Perhaps the program is too broad or commercialized and does not provide that uniqueness that some companies strive to create.  That uniqueness is something that Dr. James Levine, an obesity researcher at the Mayo Clinic, and his colleagues took upon themselves to create.  For several weeks now, Dr Levine and several of his colleagues have added exercise to their daily work.  How? Using specially designed workstations that combine a computer, desk, and treadmill into one unit.  Imagine standing while replying to e-mail; walking on the treadmill, albeit at a 1 mph pace, while typing.  Dr.  Levine and his team also carpeted a track inside around the perimeter of their offices, complete with dry erase boards for project development ideas on the fly.  Imagine conducting a meeting while walking around a track instead of sitting in a stuffy board room.  This is exactly what Dr. Levine and his colleagues have created and how today they actually work.  A leading researcher in what is known as “non-exercise activity thermogenesis”, or NEAT, Dr. Levine published a study that showed thin people are on their feet an average of 152 more minutes than sedentary people.  NEAT is the calories we burn through everyday activities such as walking, standing, or sitting.  He began brainstorming ways to make up the nearly two and a half hour deficit of standing and wanted to come up with a way to work differently.  “It’s great fun and it creates a whole positivity, partly because it’s so new, but partly because it’s nice to be moving’, said Dr. Levine.  Even moving at a pace not even fast enough to break a sweat can have a significant impact on weight loss (as much as 50 lbs.) so long as dietary intake is monitored.   Dr. Levine’s primary interest in getting this project started: “I hate going to the gym.”

No matter what the goal, no matter what the time, no matter what the cost – when there is a will, there is a way.  The undeniable facts are ever present: the rise in health care costs, the obesity epidemic, and the aging population.  As corporations grow, the health and fitness of their employees becomes an even greater concern.  Not just from a productivity standpoint, but a financial stand point as well.  Do what’s best for you and your company and take a step to improving the health of your business and the strength of your bottom line.

Featured in August 2005 Issue of 422 Business Advisor