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Posted Friday, August 14, 2009 9:27 AM

Clift: Exercise and Health-Care Reform

Katie Connolly

Eleanor Clift has escaped D.C.'s infamous August mugginess to unwind at an undisclosed beach. But like most political junkies, she couldn't help but start thinking about health reform. Here's a quick insight she kicked in last night:

I was sitting on the beach reading Barbara Boxer's new novel, Blind Justice─about a right-wing assault on a liberal senator who seems a lot like Boxer─when a friend called to tell me how outraged she is about Time magazine's cover, "The Myth of Exercise." The article is titled, "Why Exercise Won't Make You Thin," and pictures a woman doing a back-bend over a doughnut. The thesis of the piece is that vigorous exercise makes you hungrier, plus you feel entitled to reward yourself, so you eat more food, like doughnuts, after going to the gym. That hasn't been my experience, and while there's a study to support almost anything, I'm dubious of the value of this one. The friend who called me, Pamela Peeke, is a physician whose practice includes counseling people on how to live a fit life, which should include exercise. "You and I hit the gym regularly," she e-mailed me, "and I don't see either of us plowing through cupcakes after each session. We need to set the record straight."

Exercise won't deliver a perfect body and you won't lose weight if you take in more calories than you expend. The Time writer details his fairly obsessive exercise regimen and notes that he still has gut fat that hangs over his belt. I'm not going to list my imperfections, but exercise has kept my blood pressure down near astronaut levels, and the endorphins released during exercise help keep me sane. Next thing you know, the right wing will claim the Obama administration wants to set up health panels where government bureaucrats will demand exercise plans from citizens every five years. Dr. Peeke forwarded me talking points from the American College of Sports Medicine, which points out, among other things, that exercise can help ward off heart disease, cancer, and diabetes, and is an important health tool beyond its role in stabilizing or losing weight. The congressional committees writing the health-reform legislation are struggling to balance the merits of preventive care against its cost. I happen to believe that exercise is the closest thing we've got to a fountain of youth, but keeping people healthy longer doesn't necessarily cost less, and that's the dilemma playing out on Capitol Hill.  
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Member Comments

Posted By: Amonite (August 18, 2009 at 4:12 PM)

You should fix a 'broken' system by making bills that adress specific issues, not by making a fundamentally flawed catch all bill that will make our system worse. And it is not that our system is fundamentally broken in all areas. Some people have a hard time getting covered - I experience this quite often. I also understand I am being provided a service, and should respect the institutions - both medical and insurance wise - that grant it to me. Hospitals often treat patients for free even if they cannot pay, so actual life threatening dilemnas are another matter entirely vs whether I can get glasses every year or every other year. This bill takes away fundamental rights from doctors, and makes them servants of the government - government chooses their residencies, how much they can own, invest, or make.

'Keep the plan you have if you want' is an empty promise when the plans have to change, as mandated by government to meet government requirements, and everyone using ERISA faces the loss or reform of their plans in five years.

I would rather keep a problematic system and work to iron out the kinks than shift to an unconstitutional system that restricts the rights of others and will cause my real choices to diminish. And I do not want to go through my primary every time I need to see a specialist or take a test!


Posted By: Amonite (August 18, 2009 at 3:59 PM)

Obama's health care bill does not allow insurance companies to choose to give discounts if they wish to people who make healthy living choices or excercise right. Imagine if government stripped the right from auto-companies to give discounts to people who drove safely!

Excercise is not gauranteed to make you live a better life, but it is healthier statistically than those who do not excercise/eat right/etc.

Apparently it is not excercise that is the real issue. The question is how much the government should be involved in mandating or controlling it or rewards or fines for not engaging it. (Couch potato tax anyone?) Stripping the right to reward or motivation from the people and giving it to the government is backwards.


Posted By: drewand (August 18, 2009 at 2:53 PM)

You people are all paranoid! The system may have some problems but at least they are trying to make positive change, change that will benefit all Americans in the long run. What fabulous ideas do the nay-sayers have that doesn't involve clinging to our present system, which is clearly broken. Oh, I know a lot of people are happy with their healthcare. Government employees and corporations who pay for 100% for their people. It's true a lot of people have it real good. The new program does not take away those options. The problems are the abuses inherent to the current system. These need to addressed and fixed, however I do not hear the nay-sayers addressing these abuses. wake up America!