Opinion – Obese people deserve surgical treatment, too | Richard Welbourn | Opinion | The Guardian

This Guardian article by bariatric surgeon, Richard Welbourn is full of contradictions. He argues that we should stop judging Britain’s obese people and start treating them surgically, as our European counterparts do.

Source: Obese people deserve surgical treatment, too | Richard Welbourn | Opinion | The Guardian

Welbourn argument highlights different causes of obesity. At one extreme, he suggests:

For severely obese people, the hormonal effects of being obese mean that medical therapies, lifestyle changes and attempts at dieting rarely succeed in maintaining long-term, clinically beneficial weight loss.

But on the other hand, he argues:

The World Health Organisation identifies obesity as a chronic disease. But on the other side we have the popular perception – shared by some healthcare professionals – that it is purely a lifestyle choice. This totally disregards the fact that, driven by powerful food industry advertising, it is those who are poor who are most affected.

Reality is more complex. We can imagine a continuum of triggers for obesity, ranging from hormonal effects from birth to lifestyle choices of junk-food and laziness. Whilst, there’s a strong case for those with hormonal defects, the case for the other end of the continuum is less robust as many clinicians know – for many of these people obesity is a lifestyle choice.

In a world of severely rationed healthcare, surely improving cancer outcomes takes precedence over bariatric surgery for the obesity driven by lifestyle choice? Surely, governments have better options to tax junk food and promote healthcare?



Opinion – Banks accused of being ‘fundamentally corrupt’ after they sold useless card insurance to two million customers  | Daily Mail Online – John Gelmini

English: The Guildhall, City of London

English: The Guildhall, City of London (Photo credit: Wikipedia)

English: City of London logo based on City of ...

English: City of London logo based on City of London website logo (Photo credit: Wikipedia)

A view of the City of London from the south.

A view of the City of London from the south. (Photo credit: Wikipedia)

The people that own the banks are more powerful than any Government, so any laws designed to control them will always be flouted by the banks or will be designed with loopholes which the public will not know about until it is too late.

As Dr Alf knows all too well, the incidence of banking scams since before the so-called banking collapse which “started in America and then spread across to Europe” is increasing whilst nothing concrete is ever done.

Those appointed to regulate the banks lack the intelligence, mental dexterity and cunning to out-think potential fraudsters and the authorities (with the exception of those in Iceland) have steadfastly refused to jail any bankers or sequester their assets.

In America some of the worst examples have been jailed but in the UK not one person in the Square Mile, the real capital of the UK and the hidden empire based on the Commonwealth has been brought to book.

This is not an accident and until these guilty people are exposed and rooted out nothing will ever change

John Gelmini