Tough Love for the Obesity Lobby

The Bush Administration has a problem with personal responsibility. They make a big deal about it for nearly everyone -- except themselves and the corporate big shots who finance their campaigns.

A case in point is the recent World Health Organization's proposal to combat the spread of obesity, diabetes and related illnesses throughout the world. The WHO proposal -- called officially the Global Strategy on Diet, Physical Activity and Health -- would encourage governments to adopt a number of common-sense steps, from better food labeling and limits on junk food advertising to the promotion of healthful diets with more fruits and vegetables, and less sugar. It also urges governments to make sure that schools promote such diets, not junk food and soda pop.

Hardly radical stuff, and long overdue. WHO's own studies show that unhealthful diets and physical inactivity have become the leading causes of cardiovascular disease, type 2 diabetes and some types of cancer throughout the world.

One would think the U.S. would be eager to sign on. We know this problem first-hand: some two-thirds of us are overweight, plus, the President himself is a fitness buff. And let's face it. Much of the crescendo in global lard comes from the junk food diet that U.S. companies such as Coca-Cola, PepsiCo, McDonald's and Kraft have exported.

On top of all this, two years ago, President Bush called for a new ethos that says "we're responsible for our decisions." So you'd think he'd be the first to take some responsibility for the consequences of the actions of the country he leads. Fat chance. Instead, the Bush Administration has blocked the WHO anti-obesity plan, and re-opened it for weakening amendments. The Administration has hauled out its focus-group-tested slogans to pass the buck -- and ensure lots of them for its friends in the junk food industry.

First, "science." Whenever the Administration wants to muddy the waters it invokes the experts in the white coats. So here, William R. Steiger, a top aide at the Department of Health and Human Services (and George Bush Sr.'s godson), wrote to WHO that there are "numerous instances" where its food policies "are not supported with sufficient scientific evidence." Come on. Maybe the scientists employed by the junk food industry can't figure this one out, but our grandmothers did and their grandmothers before them. Dr. Walter Tsou, president-elect of the American Public Health Association, observed "Any mother with any common sense knows that you don't feed your kids cookies and ice cream every day unless you want to see them gain weight."

Is that really so hard? Is it really so hard to figure out that a Big Mac and a large shake, with 1600 calories combined, might cause some problems on the obesity front?

As it happens there is no shortage of science that confirms this common sense. Take fast food. One study published in the International Journal of Obesity found that boys and girls who ate fast food three times in the previous week had far higher calorie intakes: 40 and 37 percent, respectively - than did those who did not eat fast food. Another study, published in this month's issue of Pediatrics, estimates that the consumption of fast food could account for an additional six pounds of weight gain per child per year. But this research is not paid for by the junk food industry. So in the interesting logic of the Administration, that apparently makes it "junk science." Kaare R. Norum, the Norwegian professor who chaired the scientific panel that advised WHO, notes that the attacks on the WHO's scientific evidence "have not come from scientists. They have come only from industry."

Next the administration invokes "personal responsibility." Steiger, the top HHS aide, wrote to WHO that the Administration "supports personal responsibility to choose a diet conducive to individual energy balance, weight control and health." Steiger similarly told the Washington Post that "what's lacking" in the WHO approach "is the notion of personal responsibility as opposed to what the government can do." This echoes the spokesman for the Grocery Manufacturers of America, who said: "There is no mention [in the WHO strategy] of what we consider to be the fundamentally important issue of individual responsibility."