Obesity Tax in Virginia, Are You Ready?

obesitygraph
….well, not yet at least. The Alabama State Insurance board thinks state employees with a BMI>35 will be charged $25/month for health insurance (currently free).  IF Virginia followed suit, the 65% of state employees that are currently overweight or obese (not a lie, although this is according to 2004 data) could contribute $3,453,120 back to the state coffers.  This is no laughing matter!

This brings up a host of issues. Firstly, will this rule lead to lower obesity, and how can you quantify that today? Secondly, if obesity is incurs an additional insurance fee, why not other maladies and lifestyle choices that severely impact your health.  Smokers alone are 24.6% of the VA population and could thus contribute $43,532,867 back to the state.

I say go ahead with the additional fees (all you libertarians are snickering aren’t you?).  Our lives are full of additional fees that are not health related, and yet we have learned to change habits or just pay the fees and quit the bitching and moaning:

  • exceeded daytime minutes on XYZ cell phone plan
  • when your car insurance company re-calculates your premium after you caused a rear-end collision…
  • parking in a handicap spot
  • late fee on a credit card

[pic]
[source:  Health.com, Census.gov, CDC.gov, Virginia Center for Healthy Communities]

Popularity: 30% [?]

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213 Responses to “Obesity Tax in Virginia, Are You Ready?”

  1. 27 Aug 2008 at 10:26 amThor said:

    HOLY SHIT, this is unreal.

  2. 27 Aug 2008 at 10:29 amdarkstar said:

    Sir Mix a Lot is really pissed off right about now.

  3. 27 Aug 2008 at 10:31 amEmord Nilap said:

    if i get to pay less because I’m thin then OK

  4. 27 Aug 2008 at 10:38 amFrancesco said:

    @3. i agree with you. this goes back to the issue of who makes the “standard” and how standard is it.

    /grumbling about politics

  5. 27 Aug 2008 at 10:43 amdarkstar said:

    If we had universal health care, and universal all you can eat lunch buffets, nobody would have to pay this tax because everyone would be fat and happy. Where is the political candidate for that agenda?

  6. 27 Aug 2008 at 10:45 amorchid said:

    smokers are actually cheaper health-care-wise because they die sooner.

  7. 27 Aug 2008 at 10:46 amorchid said:

    wouldn’t the same be true with fatties? oh well, tax them anyway.

  8. 27 Aug 2008 at 10:48 amFloozy said:

    At my height I would have to weigh 220lbs to get a BMI of 35. This means I would not be getting laid, and so the money I would save on birth control,KY Warming Sensations Gel, handcuffs, gags, silk scarves, feathers, blindfolds, gerbils, ball-gags and really rough rope would more than offset the $25 I would have to pay to the health insurance folks. Being fat may actually make economic sense in the current climate of recession.

  9. 27 Aug 2008 at 10:49 amEmord Nilap said:

    @6 that is only if they die quickly. otherwise years of treatment will cost a lot of money

  10. 27 Aug 2008 at 10:51 amChad Day said:

    @6/@9 exactly. just like not wearing a motorcycle helmet. generally, either you die, or end up needing a ton of $ to recover.

  11. 27 Aug 2008 at 10:55 amHappy Fun Ball said:

    Well, why not tax anorexics and bulimics for being too thin? It costs a shitload of money to get them intensive in-patient treatment (for months sometimes) to get them to eat properly and not barf it back up.

    @8 you are so wrong.

  12. 27 Aug 2008 at 10:55 amorchid said:

    @9 so we should stop treating them. like old people.

  13. 27 Aug 2008 at 11:02 amThor said:

    I know, let’s tax everyone for any lifestyle they have!

  14. 27 Aug 2008 at 11:06 amFloozy said:

    They already tax booze so that’s my lifestyle covered already.

  15. 27 Aug 2008 at 11:07 amVanillavy said:

    Here’s some fat to chew on:

    Health care costs for smokers at a given age are as much as 40 percent higher than those for nonsmokers, but in a population in which no one smoked the costs would be 7 percent higher among men and 4 percent higher among women than the costs in the current mixed population of smokers and nonsmokers. If all smokers quit, health care costs would be lower at first, but after 15 years they would become higher than at present. In the long term, complete smoking cessation would produce a net increase in health care costs, but it could still be seen as economically favorable under reasonable assumptions of discount rate and evaluation period.

    If people stopped smoking, there would be a savings in health care costs, but only in the short term. Eventually, smoking cessation would lead to increased health care costs.

  16. 27 Aug 2008 at 11:08 amshenanigans said:

    It’s pretty messed up to go after the obese as if in some mindset, “Well, that’ll teach them to be fat”. The country has a culture that allows people to become obese and then decides to punish them for it. It’s like declawing your cat then punishing it when the cat then resorts to biting for self defense. Instead of taxing people for being fat, put a higher tax on junk food, fast food, processed food.

  17. 27 Aug 2008 at 11:09 am26 world said:

    Can we get some data on SES as well? I’m going to guess that this would end up hitting low-wage people the hardest. $25 means a lot more to them, and they are most likely less able to take advantage of/gain access to resources to become healthier.

  18. 27 Aug 2008 at 11:10 am26 world said:

    @16 Again, that strategy would tend to punish low-income people.

  19. 27 Aug 2008 at 11:14 amVanillavy said:

    @16, good point, i think this shows the multi-faceted issue at hand. I agree, one thing doesn’t stop it, but I’lll take the path of least resistance and support the first step.

  20. 27 Aug 2008 at 11:14 amStanley said:

    @18: I’d agree. Rather than penalizing people, I’d rather see incentives for more affordable fresh fruit and vegetables, especially on school menus. Public policy: sticks and carrots. Mmm….carrots.

  21. 27 Aug 2008 at 11:14 amStanley said:

    @20: rather rather rather rather rather

  22. 27 Aug 2008 at 11:17 am26 world said:

    @20 We need Alice Waters. Her Edible Schoolyard program is the bomb.

  23. 27 Aug 2008 at 11:18 amFloozy said:

    I tried her Edible Knickers and got heartburn.

  24. 27 Aug 2008 at 11:18 amshenanigans said:

    @18: Low income people are already being punished. A double cheeseburger costing less than fresh healthy produce is just wrong wrong wrong.

  25. 27 Aug 2008 at 11:20 am26 world said:

    @24 that was my point. so why punish them even more.

  26. 27 Aug 2008 at 11:24 amStanley said:

    @25: Silly 26 world, with your sensible public policy prescriptions. Everyone knows that poor people just need to let the invisible hand of the marketplace pick them up by their bootstraps and carry tehm to the magical organic arugula buffet in Narnia.

  27. 27 Aug 2008 at 11:25 amshenanigans said:

    @24: We don’t have to punish them more, we have to make unhealthy food more expensive and healthy food cheaper. We tax booze and cigarettes and poor people still manage to buy that.

  28. 27 Aug 2008 at 11:40 ambelmont yo said:

    I know, let’s tax everyone for any lifestyle they have!

    A condom tax?

    I say tax the hell out of fat people, but make the tax only payable in human fat tissue, which will then be converted to bio-diesel. The more they pay the more weight they lose. The IRS would have to have a lipo dept. though.

    /the box I am thinking out of has not yet opened.

  29. 27 Aug 2008 at 11:41 amecho said:

    There already is a solution to allow poor people to get more money whenever they need it.

    /I can’t tell if that is a serious website or an elaborate joke. I’m hoping for the latter.

  30. 27 Aug 2008 at 11:44 amLulu said:

    How about having the government stop providing health care to its employees other than police officers, firefighters and teachers? If it’s just about saving money, that’s what to do.

    /ducks a bit

  31. 27 Aug 2008 at 11:47 amecho said:

    @30: Why would you arbitrarily pick those 3 jobs?

  32. 27 Aug 2008 at 11:48 am26 world said:

    @27 It’s an education/health care/general public welfare issue, not just a matter of changing the prices around. Think about your statement — why might poor people still buy booze, cigarettes and fast food instead of healthy food, given the choice?

    Using your own logic w/r/t booze and cigarettes, making unhealthy food more expensive will not serve as a deterrent. Unhealthy food is full of simple sugars, fat, etc., obviously, and if people have been eating that their whole lives, suddenly making spinach and carrots cheaper is not going to change eating habits.

    There have to be better, more creative and generous ways of addressing poverty than just changing one regressive tax into another one.

  33. 27 Aug 2008 at 11:54 amLulu said:

    @31: Well, it could expand slightly, but the first two are the jobs where high-risk meets high-societal protection, and the third because, mostly, I have a soft spot for teachers, and they do more for society than the county clerk, etc.

    But then again, I’m fucking evil.

    /evil doesn’t like it.

  34. 27 Aug 2008 at 11:55 amFloozy said:

    Some people will always be salad dodgers…. it’s natural selection. Eventually they will be too fat to copulate and their DNA will thus be discontinued and be placed on an evolutionary dusty lower shelf with a red clearance sticker.

  35. 27 Aug 2008 at 11:57 amSmiley said:

    I know, I know, I know!! Let’s start a state lottery that disproportionately takes money from the poor so that we can then spend more money on public schools to teach poor kids math so that they will understand that the odds of their parents winning the lottery are astronomically stacked against them. And while we’re at it, let’s allow pay-day lenders to charge usurious interest rates to poor people who have to borrow against their pay checks because they waste their money on the lottery that they will never win.

    /feeling slightly sarcastic today

  36. 27 Aug 2008 at 11:58 amFloozy said:

    Change your name to ‘Smiley, but Slighty Sarcastic’ immediately.

  37. 27 Aug 2008 at 12:01 pmorchid said:

    @34 yesterday, a friend asked me “how can i lose 10 lbs in a week?” & then proudly stated that she doesn’t eat vegetables.

    the problem is, you have to be REALLY fat to be too fat to copulate. e.g., approx. 20% of pregnant women are obese.

  38. 27 Aug 2008 at 12:04 pmThor said:

    However you look at obesity, it’s clear that it is an epidemic caused by some combination of lack of education, business forces, marketing, laziness, etc.

    The question that is hard to answer is who has the burden of dealing with rising obesity. My opinion is that at some point, we have to point fingers at people who make the choice to not eat healthy, but at the same time we must provide a proper education so people can make their own decisions. I don’t know how you do that as a politician, but I’d support that thought process.

  39. 27 Aug 2008 at 12:06 pm26 world said:

    Maybe there should be a tax on insensitivity.

    /often wish there were e-goats that could eat this site.

  40. 27 Aug 2008 at 12:11 pm26 world said:

    @38 I hear what you’re saying, but I just think it’s bigger than making choices about what to eat. The way people talk on here about drinking, it’s clear that many commenters/posters don’t make the healthiest decisions about their own lives, either, but I’m going to guess that their station in life allows them to balance those choices with some healthy choices, gym memberships, access to information, affordable & positive child care, etc. I’m all for a healthy dose of personal responsibility, but this is a community issue, too, and we’re all culpable.

    Pointing fingers only works when it’s pointed at one’s self.

  41. 27 Aug 2008 at 12:14 pmorchid said:

    @38 re proper education:
    are you saying poor people don’t KNOW that mcdonald’s is unhealthy?

    there was a similarly patronizing do-gooder profiled in some magazine recently. he went to africa to educate them on proper nutrition. yeah, that’s their problem. similarly, those silly haitians, thinking dirt is healthier than fresh vegetables!

  42. 27 Aug 2008 at 12:16 pmbelmont yo said:

    What about a tax on prehensile obesity only?

    /fair warning on this one.

    Maybe there should be a tax on insensitivity.

    And I suppose I am now in the highest bracket there?

  43. 27 Aug 2008 at 12:19 pmFloozy said:

    She’s wearing Snoopy socks…

  44. 27 Aug 2008 at 12:26 pmThor said:

    @40, Touche, 26 World. I think we ran a poll or something and you’d be surprised to know that we have a very active group of readers.

    @41 If people weren’t lazy and understood the long term effects of MCD’s, do you think they would continue to pay $7 for a happy meal or would they go make rice and beans for $1 and one hour of labor?… its the combination of those things as I said. Also, if you have a data source saying that low income people understand how unhealthy that stuff is, i’d love to see it. I’m not patronizing, I’m saying it’s a combination of factors, both social and environmental that produce obesity. Hey if I’m wrong, I’m all ears.

  45. 27 Aug 2008 at 12:27 pmmc said:

    39: /often wish there were e-goats that could eat this site.

    you and me both, dude. so many empty calories and junk food, the goats would love it and then it’d be in some goat’s belly instead of out in the (inter)world where I read it and get all upset and quit every day. Also, I just wish there were e-goats, because, WOW!

  46. 27 Aug 2008 at 12:29 pmbelmont yo said:

    Some thors are more serious and well spoken than other thors. Its all so very confusing. And when I get confused, I eat. All and all, a very taxing situation.

  47. 27 Aug 2008 at 12:34 pmFloozy said:

    We’ll recognize the one that wrote 45 because he gave away a crucial clue to his identity… apparently we have to just look for someone composed of ears. Can’t be too many of them around, especially with the rain and all.

  48. 27 Aug 2008 at 12:34 pmshenanigans said:

    @40: We’re all right, I was just pointing to one of the many factors that doesn’t help obesity. My initial point was don’t single out the fatties though. Anyone who chooses unhealthy lifestyles should have to pay more in health insurance. The difference with the obese is sometimes it’s not really their fault. People who drink too much however, that’s their own problem.

  49. 27 Aug 2008 at 12:42 pmbelmont yo said:

    I was just pointing to one of the many factors that doesn’t help obesity.

    Another one is gravity.

    The difference with the obese is sometimes it’s not really their fault.

    In 99.9% of cases, unfortunately, it is.

    People who drink too much however, that’s their own problem

    Alcoholism is a disease.

  50. 27 Aug 2008 at 12:44 pmEmord Nilap said:

    National health care will most likely give me little incentive to be healthier. The only way is to charge people more who are unhealthy (unlikely) or give the healthly a break. You have to pay more for life insurance if you are unhealthy.

  51. 27 Aug 2008 at 12:52 pmshenanigans said:

    @49: I believe less people would be obese if we had a different food culture and had to walk more. Is it their fault they live in circumstances that promote driving everywhere, sitting on your ass, and buying cheap unhealthy food?
    And yes, alcoholism is a disease. But there are people who drink, smoke, do unhealthy stuff that don’t have the disease.

  52. 27 Aug 2008 at 12:56 pmbelmont yo said:

    And yes, alcoholism is a disease.

    One of the few that you get yelled at for having…

    Dammint Roger, you’re an alcoholic!
    Dammint Roger, you have lupus!

    /rip mitch hedberg

  53. 27 Aug 2008 at 12:58 pmStanley said:

    You have to pay more for life insurance if you are unhealthy.

    This is precisely the problem with private heatlh insurance. Providers have the incentives to price certain people out of coverage. A single-payer UHC system eliminates this market perversion by offering blanket coverage to everyone as a baseline.

    And all insurance—public and private—features the less-risk-prone subsidizing the more-risk-prone. That’s how insurance works.

  54. 27 Aug 2008 at 1:01 pmorchid said:

    @44 don’t fast food places have nutrition information posted on the walls now? there you go.

    & you’d think they would notice s correlation between eating mcdonald’s every day & being obese. poor people aren’t THAT dumb.

    @49 saying “alcoholism is a disease” is like saying “i’m not fat, i’m just big-boned.”

  55. 27 Aug 2008 at 1:13 pmicenine said:

    @54, I think the point about alcoholism being a disease is about it being more of a mental illness. It’s not a disease if the same sense as, say, cancer, but it is something that can be effectively treated if it is looked at in the same vein and treated as such (i.e., a disease).

    Regarding obesity, I could see the argument that the same can be said for eating. Some people I believe are seriously mentally ill regarding their food choices and consumption, but how do we differentiate that type of compulsive/addictive eating with someone who uses alcohol or drugs in the same way (i.e, not in moderation, or at the expense of their health)?

    /has to leave the interwebs, but was just thinking out loud…errrr, typing out loud…

  56. 27 Aug 2008 at 1:25 pmbelmont yo said:

    @ 55 Mostly, I agree. But alcoholism is a disease that some folks are more susceptible to than others (i.e. Native Americans). And full blown alcoholism is not determined by “drinking too much”, its defined by having physical withdrawal symptoms (mild shakes to full DTs) when one doesn’t drink.

    Many forms of mental illness can set off all manner of excessive behavior (I know this empirically). But there is a disease that is alcoholism which is different than that.

  57. 27 Aug 2008 at 1:34 pmshenanigans said:

    @56:its defined by having physical withdrawal symptoms (mild shakes to full DTs) when one doesn’t drink.

    Oh well, then I am definitely not an alkie then. Sweet! Let’s go have a drink and celebrate.

  58. 27 Aug 2008 at 1:36 pm26 world said:

    @48 There are many unhealthy decisions that can be said to be “not someone’s fault” — not just obesity. “Choice” is a relative term. I tend to land on the preventative side of things, rather than punitive. It’s a little bit easier to avoid a good bit of the paternalism that way, and hopefully, over time, there will be fewer casualties. You don’t avoid hitting low-income people hardest by saying that we should tax all unhealthy “lifestyles.”

  59. 27 Aug 2008 at 1:39 pmEmord Nilap said:

    Could we tax the rich for being to thin?

  60. 27 Aug 2008 at 1:41 pmshenanigans said:

    I was just saying why pick the fat to punish? Seems like discrimination. My tax suggestion might not be viable but at least I think we should try to change some things.

  61. 27 Aug 2008 at 1:45 pmEmord Nilap said:

    @60 I understand your point but how is this that different from life insurance companies charging more if you smoke or have heart disease?

  62. 27 Aug 2008 at 1:46 pmecho said:

    @61: Because life insurance is optional.

  63. 27 Aug 2008 at 1:48 pmEmord Nilap said:

    @62 it has got to be more than that- health care is optional as well.(at least now)

  64. 27 Aug 2008 at 1:52 pm26 world said:

    Because maybe health care shouldn’t always be about cost-benefit analysis. Maybe life insurance shouldn’t be, either, but if you’re of the belief — as I am — that decent health care should be a basic right, then that’s the issue we tackle among the first.

  65. 27 Aug 2008 at 1:56 pmecho said:

    @63: I’m sorry I thought we were talking about taxes.

  66. 27 Aug 2008 at 1:57 pmEmord Nilap said:

    @64 when you say basic, where is the end. When do you say- “we can’t afford limitless health care for everyone.”
    To quote someone else “you think health care is expensive now; wait till it’s free”

    What should basic health care cover? New livers for drunks, new lungs for smokers, spend a million for a 90 year olds final days. Where are the limits?

  67. 27 Aug 2008 at 2:00 pmshenanigans said:

    @65: Oh shit, if you re-read the post, it is about health insurance rates. The whole “obesity tax” is just Vanillavy’s title.

  68. 27 Aug 2008 at 2:05 pm26 world said:

    @66 I think the slippery slope argument is often made by people in power who are relatively unaffected by poverty. I think when there are millions of people who are completely uninsured, with no health care whatsoever, and no access to alternatives, that might be a place to start. We can talk about where it might end once we have an honest conversation about where it might *begin* for a large portion of this country.

  69. 27 Aug 2008 at 2:07 pmecho said:

    @67: Fees and taxes are entirely different. If we’re talking about fees, then completely disregard my comments @62, 65.

  70. 27 Aug 2008 at 2:07 pmLulu said:

    @67: Yep… it’s not really a “tax”. And if anything, it’s called the “fat tax” rather than the “obesity tax” for purposes of assonance.

  71. 27 Aug 2008 at 2:17 pmshenanigans said:

    @70: Well, whatever you wanna call it, it’s messed up.

  72. 27 Aug 2008 at 2:42 pmStanley said:

    To quote someone else “you think health care is expensive now; wait till it’s free”

    That’s simply not borne out by the data. We pay more than any other developed country, and we’re getting less for it (i.e., we’re less healthy). I’d call that a raw deal.

  73. 27 Aug 2008 at 2:52 pmecho said:

    @72: Stan, do you have any data about the number of malpractice lawsuits and the cost of insurance doctors must buy in those other countries. I think a lot of the money we spend on doctors (through our insurance companies) goes right back to other insurance companies. I have a couple friends whose parents are doctors, and I know they have seen a huge increase in the cost of their malpractice insurance over the last few years.

  74. 27 Aug 2008 at 3:18 pmEmord Nilap said:

    @68 Sorry but saying we must “first” insure everyone without a thought to what that means is a cop out. You can’t talk about limitless health before you talk about limits of reality. Please tell me how we determine what or who gets covered; without it your “health care for everyone” just words that will never come closed to being passed.

  75. 27 Aug 2008 at 3:21 pmStanley said:

    @73: nothing off the top of my head, but a cursory google search suggests OECD has worked on that issue, too. Maybe I’ll have more time to look later.

    @74: Not trying to argue for 26 world, there are any number of countries with various working nationalized health-care systems. A good starting place would be to compare them and see what works well and what doesn’t. Oh look!

  76. 27 Aug 2008 at 3:29 pmEmord Nilap said:

    @72 the use of your statistics is a canard of epic proportions. Northern Europes social system allows for a population model not repeated in other parts of the world. Also health care spending includes elective procedures such as plastic surgery and much higher maintenance pharm use in the US. There exist no place in Europe with a comparable use of technology (MRI’s, Gamma knives, and others) and our demographic population model. To be fair you should compare all of europe with the us. That would show we spend more and get more.

    Many have great health care in the country and the poor are covered in a limited basis (not preventative which is an enormous waste). I think you are dead on, Echo about the cost of insurance for malpractice and it’s relative cost. That does have to be addressed.

  77. 27 Aug 2008 at 3:31 pmEmord Nilap said:

    @75 cutting and paste that article doesn’t answer the question, please try again.

  78. 27 Aug 2008 at 3:32 pmshenanigans said:

    Ooh Stanley I think he called you a duck.

  79. 27 Aug 2008 at 3:34 pmStanley said:

    @76-7: Snappy replies do not an argument make, kemosabe. I’m trying to lay out a case for single-payer universal health care. You’re snarking back. It’s an area of public policy about which reasonable people can certainly disagree. But you’re not exactly acting reasonable.

  80. 27 Aug 2008 at 3:38 pmshenanigans said:

    After all the goofy fun of yesterday, all this arguing and negativity today is really disappointing.

  81. 27 Aug 2008 at 3:39 pmStanley said:

    @80: NO IT’S NOT I TOTALLY DISAGREE.

  82. 27 Aug 2008 at 3:39 pmotterdung said:

    @80
    Shenanigans, are you there?

  83. 27 Aug 2008 at 3:40 pmshenanigans said:

    WHY CAN”T WE ALL JUST GET ALONG!

    @82: Oui oui

  84. 27 Aug 2008 at 3:41 pmEmord Nilap said:

    You aren’t not laying out a case, you simple saying “look over there, see it can be done”. Is the US system flawed- yes it is but graphing on another country system is not the answer. Direct comparisons are very flawed in the macro sense. The US has the best Tech in the world and no rationing. Something will have to give if we go to universal care. If that happened tomorrow we would have a two tiered system overnight. Basic for everyone, and deluxe for those willing to pay for more. Just like England.

    I’m not calling you the Lone Ranger either

  85. 27 Aug 2008 at 3:43 pmChad Day said:

    @64 agreed. there are many ways in which i am fiscally conservative, but this isn’t one of them. in my mind, government has the duty to provide health care to it’s citizens. every other first world country agrees.

    /yay politics

  86. 27 Aug 2008 at 3:45 pmFloozy said:

    @84 The UK would be more accurate, not England…. you’ve just pissed off the Welsh and the Scots, and those thieving bastards up in Northern Ireland.
    /well done

  87. 27 Aug 2008 at 3:46 pmStanley said:

    you’ve just pissed off the Welsh and the Scots, and those thieving bastards up in Northern Ireland

    And they’re all healthy and shit and coming for you. ARRRRRG!

  88. 27 Aug 2008 at 3:47 pmotterdung said:

    @80, 82

    Shenanigans,

    Sorry… my patience extends to only twenty times hitting F5.
    Beg your pardon for the the intrusion and the aside, especially after humiliating debacle of yesterday.

    However:

    Caspari, that fine establishment soon to be an advertiser no doubt, is out of espadrilles in any size.

    Sending them was of course in goodfellowship and jest, but you must be disappointed somewhat. While though it were possible for me to procure a pair in 8.5, perhaps even stripey and with better soles (i.e., rope not rubber), it occurs to me that humor aside, Labour Day is soon upon us, and you couldn’t wear espadrilles after that date in any case, even in the South, even under the depressingly lax standards of dress Cville sets itself.

    So, is there some other small gift I may substitute for the botched one (it achieving neither a glass-slipper Cinderella fit NOR a laugh), to ratify my bona fides and honour the obligation i incurred?

    Please let me know; and i think that after sending, i’ll drop from this pleasant but tilting exchange.

    besmirched,
    otterdung

  89. 27 Aug 2008 at 3:47 pmEmord Nilap said:

    @86 UK, OK? Good day!

  90. 27 Aug 2008 at 3:47 pmFloozy said:

    @85….Chad you need to read up…. the Gov in UK doesn’t provide anything. You pay from your salary 10-12% every month whether you are sick or not and that cash funds the National Health Service…. ie paid for by the people, and totally separate to taxes.

  91. 27 Aug 2008 at 3:48 pm26 world said:

    @74 I think that reasonable people are capable of formulating what a basic level of coverage and accessibility might look like without having to resort to the lazy “we don’t know where it would end, so it should never begin” argument. There are an estimated almost 10 million (accounted for) children alone who are currently uninsured, and for a nation as wealthy as ours, that is a horror from any angle, be it cost-benefit, socialist, humanitarian, public welfare, whatever.

    Check out http://www.ramusa.org/index.html for an idea of what some people think of as a decent beginning, without being weighed down by “where it will end.”

  92. 27 Aug 2008 at 3:49 pmEmord Nilap said:

    @88 not besotted?

  93. 27 Aug 2008 at 3:52 pmotterdung said:

    @92
    besottage is a costly hobby;
    and as a public one, and an anonymous one,
    seems not to repay the expense in other than embarrassment.

  94. 27 Aug 2008 at 3:54 pmshenanigans said:

    @88: How about a pink pony with dancing squirrels on its back with bouquets of cotton candy grasped in their little paws? If it’s not any trouble…But not a FAT pony.

  95. 27 Aug 2008 at 3:56 pmshenanigans said:

    OD why are you embarassed? It was thrilling. You had all the Spicy Bears peeing their pants in anticipation.

  96. 27 Aug 2008 at 3:57 pmChad Day said:

    @90 that sounds exactly like a tax to me. what’s the difference, other than semantics?

  97. 27 Aug 2008 at 3:59 pmFloozy said:

    Let’s leave semen out of this Chad and stay on topic.

  98. 27 Aug 2008 at 3:59 pmbelmont yo said:

    Tax my fat pony.

    /excellent band name.

  99. 27 Aug 2008 at 3:59 pmecho said:

    @88, 94: I just got all the pictures which Spicy Bear should I send them to? Kyle, Thor #734, Francesco?

  100. 27 Aug 2008 at 4:01 pmbelmont yo said:

    @ 97 Semen? He was merely asking vas the deferens.

  101. 27 Aug 2008 at 4:02 pmChad Day said:

    @100 … that was painful.

  102. 27 Aug 2008 at 4:05 pmFloozy said:

    Nice one BYo…. at first glans I didn’t get it.

  103. 27 Aug 2008 at 4:07 pmshenanigans said:

    Don’t be so testi Chad. Sheesh.

  104. 27 Aug 2008 at 4:07 pmEmord Nilap said:

    @91 I am only against universal health care until someone tells me how it will work in the US. I am willing to change my mind if someone can explain to me how it will WORK. Just telling me “it’s for the Chillldern!” That’s not a policy, it’s emotion. I’ll even pay more taxes if I feel the system is fair and can be implemented.

  105. 27 Aug 2008 at 4:08 pmotterdung said:

    @99
    i would consider it a personal favor
    for a photo of the text of the note enclosed in the package to NOT be included.

    though the contents of the note are certainly already in the public domain,
    and could be reported, i would prefer to omit any picture of the text.

    do-able?

  106. 27 Aug 2008 at 4:09 pmbelmont yo said:

    Chad always gets the shaft on this site.

  107. 27 Aug 2008 at 4:09 pmotterdung said:

    @94

    i’ll see what i can do.
    if anything else pops into your mind in the meantime, drop me a line.

  108. 27 Aug 2008 at 4:10 pmshenanigans said:

    @105 Oops. I am l’indescrète.

  109. 27 Aug 2008 at 4:11 pmshenanigans said:

    @107: Were you at SS last night?

  110. 27 Aug 2008 at 4:13 pmEmord Nilap said:

    @109 was there pale boy who hair cut was short on the sides with a long forelock?

  111. 27 Aug 2008 at 4:13 pmotterdung said:

    @108
    handwriting and all that.

    @109
    sorry to have missed it.

    @general
    i’m sorry for the sidebars.
    i am slender, but sympathize with your will to continue the obesity thread.

  112. 27 Aug 2008 at 4:14 pmecho said:

    @105: You’re lucky I decided to check back one last time before pushing send. I will not include the picture of the card.

  113. 27 Aug 2008 at 4:14 pmFloozy said:

    The ball is in your court Chad.

  114. 27 Aug 2008 at 4:16 pmshenanigans said:

    Choad Day likes sementics.

  115. 27 Aug 2008 at 4:16 pmotterdung said:

    @112

    Thank you, echo, for that kindness.

  116. 27 Aug 2008 at 4:16 pmEmord Nilap said:

    @113 Does Chad play home or away games

  117. 27 Aug 2008 at 4:17 pmshenanigans said:

    @115: You have neat handwriting. Was that a stamp?
    @110: A who? With a what?

  118. 27 Aug 2008 at 4:19 pmFloozy said:

    I can’t stop snickering at that Shen… it’s so bad its good.

  119. 27 Aug 2008 at 4:19 pmbelmont yo said:

    was there pale boy who hair cut was short on the sides with a long forelock?

    That is Helmy, the elf that wanted to be a dentist. He wasn’t there.

    but sympathize with your will to continue the obesity thread.

    Nah. Its past a hundred comments and as such been jacked into a penis pun thread. No worries.

    /corposum diem!

  120. 27 Aug 2008 at 4:20 pmecho said:

    Well apparently Francesco’s email address isn’t as easy to figure out as Kyle’s. Mr. R, you should have the pics.

  121. 27 Aug 2008 at 4:21 pmshenanigans said:

    @118: I’ve already been accused of being 12 today so let’s roll with it. Choad. I said choad.

  122. 27 Aug 2008 at 4:22 pmotterdung said:

    @117
    thank you and yes.

  123. 27 Aug 2008 at 4:23 pmshenanigans said:

    Chad Day only supports health insurance foreskin ny people.

    @122: Cool. What was the name of the book?

  124. 27 Aug 2008 at 4:24 pmFloozy said:

    Why is Otter being so secretive now….
    /me haz suspishens

  125. 27 Aug 2008 at 4:24 pmbelmont yo said:

    Hmmmm…. Should have gone with “carpe scrotum”.

  126. 27 Aug 2008 at 4:26 pmFloozy said:

    Chad went home early… he was going to write something but his pen is broke.

  127. 27 Aug 2008 at 4:29 pmshenanigans said:

    Snort!

  128. 27 Aug 2008 at 4:29 pmFloozy said:

    Whatever happened to Mintyfresh?… I really liked him. I thought he would come back when all the fuss died down.

  129. 27 Aug 2008 at 4:30 pm26 world said:

    @104 Surprise, I’m not a policy genius. Don’t oversimplify the power of emotion or necessity to spark change. I’m not trying to change your mind, and it’s not my job to explain things to you.

    What I am doing is going out in the world and trying to effect some change in my own way, support policies I believe in, spark some discussion, think about how things *could* work and then do what I can to make that happen. I don’t feel the need to publicize my public works/job description on this blog, but you can bet that I do more than just whine that “it’s for the children.”

    “You need to explain it to me” is a nice high seat on which to perch; I’m sure the view is lovely, but I prefer ground level. If you want to shove me in some Sally Struthers corner, that’s your prerogative, but it doesn’t really move the problem along, does it.

    /done and done.

  130. 27 Aug 2008 at 4:31 pmThisSideUp said:

    @127 OMG Shen’s doing drugs online.

  131. 27 Aug 2008 at 4:33 pmChad Day said:

    I can’t keep it up with these puns.

  132. 27 Aug 2008 at 4:35 pmshenanigans said:

    I’m so glad that Emord is handling the arguing with 26 so that I am free to flirt with otters and talk about penises.

  133. 27 Aug 2008 at 4:37 pmbelmont yo said:

    @ 131 I know, we are way a head of you.

  134. 27 Aug 2008 at 4:37 pmFloozy said:

    It’s been a very schlong day.

  135. 27 Aug 2008 at 4:38 pmotterdung said:

    @123
    She, i think it was volume I of Burton’s Anatomy of Melancholy in an 1823 (maybe 1833) edition. Honestly, i forget, but can check if it’s important to you. Nice leather on the cover, though. It may have been rather an early printing of Voltaire’s Dictionnaire Philosophique. Both were laying around the house and somewhat trashed, with bindings shot.

    @124
    just embarrassed generally about the whole bloody thing, not secretive…
    also keenly sensible of Suggestion-Box comments,
    and of highjacking the thread with … ummmm … mutual explorations.

    gnight all–enuf damage control for today.

  136. 27 Aug 2008 at 4:41 pmecho said:

    @135: No need to be embarrassed. She was genuinely touched when she opened the present. Granted it’s because oy was groping her, but really, she was touched.

  137. 27 Aug 2008 at 4:42 pmLulu said:

    On topic (well, at least more on topic than most recent comments):

    Why does the image say Colorado is the leading state? Aren’t they losing the obesity race?

    /suck it Tennessee

  138. 27 Aug 2008 at 4:42 pmStanley said:

    Flooze has quite the dick shun.

  139. 27 Aug 2008 at 4:43 pmbelmont yo said:

    @ 134 Tell me about it, Ive been up since the cock crowed, which is hard.

  140. 27 Aug 2008 at 4:44 pmshenanigans said:

    @135: I will pretend it was the Voltaire. Also, don’t pay any attention to Suggestion Box. The people who run the site thought the whole thing was interesting and amusing so they posted about it. Not everyone has to think it was as fun but to each his own, it’s no reflection on you.

  141. 27 Aug 2008 at 4:45 pmFloozy said:

    I’m surprised one of the admins hasn’t come into this thread and man handled us out.

  142. 27 Aug 2008 at 4:47 pmbelmont yo said:

    For sure, they usually get a bit prickly about these sorts of things. “Spare the rod” and all…

  143. 27 Aug 2008 at 4:47 pmFloozy said:

    But that would make it seem like a dicktatorship or even a cummunist regime.

  144. 27 Aug 2008 at 4:47 pmecho said:

    @141: They can’t until the gives us a new FFA. The other one disappeared into oblivion, not to be seen again until they fix the archives.

  145. 27 Aug 2008 at 4:48 pmshenanigans said:

    Back to fat people!

  146. 27 Aug 2008 at 4:49 pmFloozy said:

    errrrrr….Echo…. read 141 again.

  147. 27 Aug 2008 at 4:49 pmbelmont yo said:

    Still, they can be such weenies. Probably because they are a bit chubby.

    /jacked back on topic?

  148. 27 Aug 2008 at 4:50 pmotterdung said:

    @140
    last one before i go.

    i made a couple calls about renting a pony, but none of the places would allow me to (humanely) spray-paint it pink. the squirrels i can get, and the cotton-candy, but without actually tying or glue-ing them to the pony… it’s a wash.

    if i enclose a few decent cigars for Kyle, may i send one more small private package to CareBear offices: the lead printer’s-stamp which you seemed to enjoy?

  149. 27 Aug 2008 at 4:50 pmshenanigans said:

    I meant, back to the fat PeOpLE

  150. 27 Aug 2008 at 4:52 pmmc said:

    148: otter, you’re such a sweetie, but you’re learning an important villain lesson here: private is a word shenanigans doesn’t really understand…. privates, maybe, but not private.

  151. 27 Aug 2008 at 4:53 pmotterdung said:

    @150

    as they say: “i’m on it”.

  152. 27 Aug 2008 at 4:53 pmbelmont yo said:

    if i enclose a few decent cigars for Kyle

    Sometimes a cigar is just a cigar… but probably not in this thread.

  153. 27 Aug 2008 at 4:55 pmbelmont yo said:

    @ 148 So you are sending shen a printing tool?

    /cant seem to stop.

  154. 27 Aug 2008 at 4:55 pmshenanigans said:

    @148: Don’t send Kyle crap. Where do you want me to send the shoes?

  155. 27 Aug 2008 at 4:56 pmLulu said:

    @151: Whoa, one package and “you’re on it”? Nice work with Shen then.

  156. 27 Aug 2008 at 4:59 pmshenanigans said:

    @150: You’re so right! I am a bigmouthed whore!

  157. 27 Aug 2008 at 5:00 pmFloozy said:

    Vanillavy must be standing proud, in the knowledge that this turned into such a big post.

  158. 27 Aug 2008 at 5:02 pmshenanigans said:

    Don’t stroke his ego.

  159. 27 Aug 2008 at 5:09 pmStanley said:

    They can’t until the gives us a new FFA

    Ask, and you shall receive.

  160. 27 Aug 2008 at 5:22 pmChris said:

    As an example of how Universal Health Care (which is different than unlimited health care) might work:
    check out:
    http://www.oregon.gov/OHPPR/HSC/current_prior.shtml

    The Oregon Health Plan is not perfect and might not even be good. But its a fine place to begin a conversation about how a system _might_ be implemented. It recognizes one critical reality: if you’re going to provide some health care for everyone (and, lets be clear about this; we, as a society, should provide some health care to everyone) you can’t provide all health care for everyone. We simply don’t have the resources (much less the actual money that we’re willing to spend). We simply cannot provide open ended care to all people. It would cripple our economy and our medical infrastructure. The Oregon plan is far beyond a lot of ideas in that it incorporates (and has from its inception) rationing.

    Rationing usually brings any conversation about health care to a full stop since its a distasteful idea to many. It already happens, effectively, though. That there isn’t a government office charged with making specific decisions about what an individual does and does not get in terms of treatment or diagnostic testing does not mean that such decisions are not made on a regular basis in a more decentralized manner.

    As for the original post on this thread: its a barn door after the cows are gone sort of idea. It doesn’t get at the causes or reasons, just punishes some folks for a combination of bad choices, bad policies, bad education and bad responses by our society/government/health care “system” and food systems.

  161. 27 Aug 2008 at 5:54 pmotterdung said:

    @154
    just toss the shoes away, we could ask no more of them after all this.

    @153
    i don’t normally do vulgarity, but b/c it’s B-Yo:
    impressed by the tool? it’s hanging around, but shrivelled from disuse; just needs to be moistened on a pad to make it’s mark.

  162. 27 Aug 2008 at 6:02 pmmc said:

    @161: ewwwwwwwwwww. otter, otter otter…..

    @156: anytime, honey. I’m happy to be the prudish foil to your colorful comments if it yields such amazing responses as that one.

  163. 27 Aug 2008 at 6:06 pmotterdung said:

    @161
    @162
    sorry… really i am. i was provoked. it wasn’t me.

  164. 27 Aug 2008 at 6:07 pmotterdung said:

    @161
    @162
    sorry… really i am. i was provoked. it wasn’t me.

    nor was it funny. part of why i don’t ‘do’ crass.

  165. 27 Aug 2008 at 6:10 pmThinksThisSiteisRetarded said:

    Wow, 102 comments and only 2 address the issue of poverty and none point out the irony if putting additional financial burden on people whose condition may very well be a strong indicator of their lower economic status. Hmmm. Why might this be? Google it.
    It would be way more interesting than reading the comments here.

  166. 27 Aug 2008 at 6:20 pmmc said:

    it’s okay, od. you’re still fine by me.

  167. 27 Aug 2008 at 6:33 pmbelmont yo said:

    Everybody better step off my man otter.

    Its aeet dung, rock on witcho bad self. i got your back. you put your mind and heart on your sleeve where it belongs, just like me. never be afraid to take one too many steps. this site needs more trippers like you. and for the love of god don’t beat yourself up. you’ve got flavor!

    /or we could all just be anonymously proper and dandy, like an e-church… How. Nice.

  168. 27 Aug 2008 at 6:34 pmFloozy said:

    OD you need to toughen up a bit… you were a force to be reckoned with before this espadrille escapade… gather yourself and stop being a whipped puppy.We love you. Get over it.
    /I keep having these subliminal images of the wildebeest at the back of the herd that stops to tie its laces and BAM…. down it goes with a pair of lions sucking on its face and a crowd of hyenas texting in the background, waiting their turn. I have dibs on your liver… the Chianti is ready to go.

  169. 27 Aug 2008 at 6:35 pmFloozy said:

    OMG… creepy…. same wavelength dude…. didn’t see 166.

  170. 27 Aug 2008 at 7:03 pmparlie said:

    but… you’re gonna eat his liver?

  171. 27 Aug 2008 at 7:09 pmFloozy said:

    Parlie… I hear that’s where the alcohol should be.

  172. 27 Aug 2008 at 7:18 pmmc said:

    better evil? liver eater! soooo close, yet so far. emord, help me out.

  173. 27 Aug 2008 at 7:19 pmparlie said:

    oh man that is close. it makes me excited, in the palindrome area of the brain.

  174. 27 Aug 2008 at 7:22 pmFloozy said:

    So who did you bonk that’s causing you so much angst mc?

  175. 27 Aug 2008 at 7:23 pmFloozy said:

    The guilt is blocking the palindromic area of your brain…. confess and you will be freed and yet again able to go both ways…

  176. 27 Aug 2008 at 7:24 pmFloozy said:

    OMFG…was it Michelle Obama?

  177. 27 Aug 2008 at 7:26 pmmc said:

    angst? no, no, you’ve got me all wrong!! in any case, it’s no one you know. or at least, no one that I know that you know, if you know what i mean, and even i dont’ know anymore.

  178. 27 Aug 2008 at 7:28 pmFloozy said:

    But you don’t know me…. perhaps you slept with me.

  179. 27 Aug 2008 at 7:28 pmbelmont yo said:

    Show me on the doll where the palindrome touched you uoydeh coute mordnil apehter ehwllo deht noem wohs.

    /dusty!

  180. 27 Aug 2008 at 8:13 pmAnti-Freeze said:

    Screw em. I had so many UVA employees when on the bus hitting me in the head cause they were too fat to stay inside the aisle I thought I was concussed.

  181. 27 Aug 2008 at 8:23 pmbuster said:

    @ 180 let me guess - you worked at the hospital at some point?

  182. 27 Aug 2008 at 8:30 pmAnti-Freeze said:

    Yes. Jesus christ it was unreal!

  183. 27 Aug 2008 at 8:31 pmFloozy said:

    @180 AF…Maybe you are concussed, and this is an alter-reality caused by a huge wobbly buttock hit to your cranium. It’s possible n’est ce pas? Or perhaps you are actually on life support in the intensive care unit, and all your relatives are keening at your bedside, frantically trying to romanticize the fact that you were felled by a giant arse. I mean how is that going to look in the paper?… donations to Weight Watchers in lieu of flowers. Its just wrong dude… stay off the bus.Buy a bike.

  184. 27 Aug 2008 at 9:03 pmTwoOFour said:

    I have family members that have been killed by the failing gruesom machine that socialized health care is.

    Make it affordable across the line, but keep it competitive, let the hospitals and doctors have an incentive to keep you alive not to mention healthy.

  185. 27 Aug 2008 at 9:04 pmbuster said:

    @ 182 based on years of extensive observation (as a former driver of said buses) it amuses and saddens me to see how ironic a lifestyle a good part of health-system workers here lead. (and don’t even get me started on the ones who smoke!)

    /stories of people being too large to climb up the bus stairs, i have them

  186. 27 Aug 2008 at 9:05 pmTwoOFour said:

    /jack-back of sorts

  187. 27 Aug 2008 at 9:09 pmAnti-Freeze said:

    @182. Good call. I was thinking about it anyway, ‘less I become what I admonish.

  188. 27 Aug 2008 at 9:09 pmFloozy said:

    Ha… Buster… that is nothing…. you have stories, but I have pictures of BYo NAKED. I googled… what?… oh!… gotta go… back in a minute.

  189. 27 Aug 2008 at 9:13 pmFloozy said:

    AF…. forgive me if I offend CLR&R in any way as you seem such a fan, but why do you continue to play over there? Seriously…. anyone that can use the word admonish in context and spell it correctly is surely worthy of some better company?
    /elitist? fuck yeah.

  190. 27 Aug 2008 at 9:42 pmAnti-Freeze said:

    I dunno…I’m a masochist. I’m slowly weening off of it. I just get a kick when people think I’m more of the Anti-Christ than Obama is. :D

  191. 27 Aug 2008 at 10:26 pmEthan said:

    As a libertarian, I have no problem with this. Those of us who act responsibly and live healthily have been subsidizing people who make poor personal decisions for decades.

  192. 27 Aug 2008 at 11:09 pmTaliesin said:

    We (as in the insular we that I am not part of, just in my brain) like you better when you are snorting coke off of hookers tits. As a libertarian. Or as a librarian. Comma. Semi-colon. Their I said its.

  193. 27 Aug 2008 at 11:56 pmStanley said:

    191: That’s sweet. Since I don’t have catastrophic coverage, I can just forward all emergency room bills to Ethan @ the internet dot com? Lord almighty, how you’ve saved me. I’m gonna go read Ender’s Game while spanking off to my pile of Ayn Rand memorabilia. THANKS!

  194. 28 Aug 2008 at 12:25 amdieter said:

    I leave here for a couple of days and all hell breaks loose. Nice going! LWNHLTH!

  195. 28 Aug 2008 at 9:08 amEthan said:

    @193 Lose some weight, fatty.

  196. 28 Aug 2008 at 9:58 ammc said:

    I absolutely love it when ethan and stanley get into a liberterian vs. socialist throwdown. politics!! keep it up guys, you’re making me smile.

  197. 28 Aug 2008 at 10:03 amecho said:

    you’re making me smile.

    I’m setting the over/under for mc no longer smiling at the internetz at 4.5 hours. Any takers?

  198. 28 Aug 2008 at 10:07 ammc said:

    i will accept your bet, sir.

    /don’t know what over/under means.

  199. 28 Aug 2008 at 10:08 amecho said:

    Do you think it will take more than 4.5 hours (over) or less than 4.5 hours (under) for you to get mad and quit the internet?

  200. 28 Aug 2008 at 10:10 ambelmont yo said:

    Dont hate the internet, hate the game.

  201. 28 Aug 2008 at 10:10 ammc said:

    I accept the over part.

  202. 28 Aug 2008 at 10:15 amshenanigans said:

    I say Less.