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访谈录 2010-07-06&07-10 姐就是长的胖,怎么了吧-

时间:2010-12-14 06:04来源:互联网 提供网友:angel_mei520   字体: [ ]
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I happen to note that one of my colleagues is here, um, Dr. Richard Bether talking about stacking the deck, um, he is a pediatrician by training, he is a former acting1 head of the CDC, and also an epidemiologist. I would like you to weigh in on the discussion. Can you be healthy and fat?
Yeah, it has been a very interesting discussion for me to watch. I listened to it with two hats, one is the hat as a general pediatrician dealing2 with children and their bodies and issues of self-esteem, concerned about young children in eating disorders3 and demonizing food and demonizing any body type. And then I listened to this discussion as well as an epidemiologist and in my role when I was at the CDC and there is not refuting that there are major health consequences on a population basis to being obese4 and overweight. The issues that have been raised here, diabetes5, heart diseases, issues of arthritis6, of sleep apnea, cholesterol7, and these are all linked to overweight and obese. There is an increasing risk, and when you talk about risk, I hear you; it doesn't translate to the individual that you will necessarily develop these problems. But if you take a hundred people, those who are obese are at great risk of developing those problems and so, I look at these problems as what can we do as a society to reduce them and I'm hearing some agreement in terms of make healthy foods available, make it easy for people to get activity, that on a population basis will reduce the likelihood that so many are overweight or obese. There are also things that you can do to an individual in terms of educating people about proper eating and the importance of exercise. There also are different body types. People have different body types and you want people to embrace their body types. Um, I always ask children when I see them in the office, "Do you think you are overweight, underweight, or just right?" And, you know, regardless of their body type, the girls are much more likely to say that they weigh too much and that's bad. It's very important that we deal with that issue of the extremes. But there is no doubt in my mind that we are not doing enough as a society to help people be healthy and lead healthy lives, and that ties into issues. Now I am hearing both sides here, I didn't hear anyone say that healthy food shouldn't be available in every community and it shouldn't be easy for people to make that choice of the healthy choice, so I mean a question that I have is: Is there an acceptance that at least for the population there are risks to being overweight, even if as an individual, you may be healthy; for if we as an society, don't take on that issue of obesity8, as a society we will not be as healthy, is there, is there ...  I think that that comes back to the conflation of weight with health. I dieted my way into this body. You know, it's specifically the dieting behaviors that caused my weight increase. I mean, I started out as a kind of chubby9 kid, and increased through all of these behaviors and a lot of these things are linked to, you know, a lot of the sort of health risks that people talk about are linked to that sort of dieting behavior, yoyo dieting over the years. There is societally this idea that we should be fighting this obesity problem but nobody is talking about actual health like they're framing this very good goals as a battle against something, and I think that that is where the problem lies and that's when it turns it into a sort of moral grey area where people start to think, well, you know, we have a war on obesity, obese people are bad.
I think we have to be very, very careful. I’ve heard you say that you don't want to get shoved on a bus or made fun of on a bus. And on the same breath, you are saying that you should not have to pay two seats on an airplane or shouldn't have higher health care because you are overweight. So the two things are completely different.
I have, I do have a question though: Do you think that people who are overweight or obese should be stigmatized11?
Uh, coming from a family where the people I love and respect most, and most of them obese, I don't think you wanna stigmatize10 a person. I do absolutely think we need to harness the power of stigmatization12 for the products and the practices that make people obese and that is meaning that's chronic13 over-eating, that's constantly pushing the fourth meal from tackle belt, it's one hundred ounce soft drinks, it's schools with the kids don't get recess14, the schools with the kids don't get P.E., It's the environmental factors that must be stigmatized. We have to say enough with all that. There shouldn't junk food in the day care center; there shouldn't be junk food in the school, I don't care if you call trans fat in food calling a cup cake, it doesn't need to be in school, kids can celebrate that elsewhere. These are the things that should be stigmatized - never the person.
But what your message does is stigmatizing15 fat people, like you don't run an organization that attacks school systems for not having resource, like recesses16, what your internalization does is make people feel bad about themselves, and there are no, there are no powers of stigmatization that can do anything good for a person, you know, shame doesn't work that way.
I think peer pressure is very effective and that's what I'm talking about. Peer pressure, the whole thing, (Peer pressure and stigmatization are very different) well, peer pressure, I think I was pretty explicit17 in what I explained and I don't think what I said is anything about what you were saying.
The question of, um, risk across the population, I mean when we have risky18 drivers, we charge them more for a driver insurance, auto19 insurance. When we have people at risk for diseases related to obesity, should they be charged higher insurance rate?
We charge bad drivers more because they have a history of driving badly. If I don't have a history of costing my insurance company more, why are they charging me more for this chance? If fat people don't go to the doctor, because they are afraid of being treated badly, fat people are treated badly when they go the doctor, you can't have it both way, it's like we can't cost the system huge amounts of money but then not do prevent off care and sort of you know, well woman and well man may learn that we need to do be healthy. I think she has made same anecdote20 with the data, (I am not. It's amazing.) the data shows that obesity is across-the-board very expensive, so I don't, so clearly, eventually, obese had avoided people go to the doctor because we know categorically the expense that ends, 147 billion CDC, (They are going through pressure after not going to the doctor for) which is a shame and a different tough subject. (40 years, because they had been afraid to go to the doctor.)


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1 acting czRzoc     
n.演戏,行为,假装;adj.代理的,临时的,演出用的
参考例句:
  • Ignore her,she's just acting.别理她,她只是假装的。
  • During the seventies,her acting career was in eclipse.在七十年代,她的表演生涯黯然失色。
2 dealing NvjzWP     
n.经商方法,待人态度
参考例句:
  • This store has an excellent reputation for fair dealing.该商店因买卖公道而享有极高的声誉。
  • His fair dealing earned our confidence.他的诚实的行为获得我们的信任。
3 disorders 6e49dcafe3638183c823d3aa5b12b010     
n.混乱( disorder的名词复数 );凌乱;骚乱;(身心、机能)失调
参考例句:
  • Reports of anorexia and other eating disorders are on the increase. 据报告,厌食症和其他饮食方面的功能紊乱发生率正在不断增长。 来自《简明英汉词典》
  • The announcement led to violent civil disorders. 这项宣布引起剧烈的骚乱。 来自《简明英汉词典》
4 obese uvIya     
adj.过度肥胖的,肥大的
参考例句:
  • The old man is really obese,it can't be healthy.那位老人确实过于肥胖了,不能算是健康。
  • Being obese and lazy is dangerous to health.又胖又懒危害健康。
5 diabetes uPnzu     
n.糖尿病
参考例句:
  • In case of diabetes, physicians advise against the use of sugar.对于糖尿病患者,医生告诫他们不要吃糖。
  • Diabetes is caused by a fault in the insulin production of the body.糖尿病是由体內胰岛素分泌失调引起的。
6 arthritis XeyyE     
n.关节炎
参考例句:
  • Rheumatoid arthritis has also been linked with the virus.风湿性关节炎也与这种病毒有关。
  • He spent three months in the hospital with acute rheumatic arthritis.他患急性风湿性关节炎,在医院住了三个月。
7 cholesterol qrzzV     
n.(U)胆固醇
参考例句:
  • There is cholesterol in the cell of body.人体细胞里有胆固醇。
  • They are determining the serum-protein and cholesterol levels.他们正在测定血清蛋白和胆固醇的浓度。
8 obesity Dv1ya     
n.肥胖,肥大
参考例句:
  • One effect of overeating may be obesity.吃得过多能导致肥胖。
  • Sugar and fat can more easily lead to obesity than some other foods.糖和脂肪比其他食物更容易导致肥胖。
9 chubby wrwzZ     
adj.丰满的,圆胖的
参考例句:
  • He is stocky though not chubby.他长得敦实,可并不发胖。
  • The short and chubby gentleman over there is our new director.那个既矮又胖的绅士是我们的新主任。
10 stigmatize iGZz1     
v.污蔑,玷污
参考例句:
  • Children in single-parent families must not be stigmatized.单亲家庭的孩子们不应该受到歧视。
  • They are often stigmatized by the rest of society as lazy and dirty.他们经常被社会中的其他人污蔑为懒惰、肮脏。
11 stigmatized f2bd220a4d461ad191b951908541b7ca     
v.使受耻辱,指责,污辱( stigmatize的过去式和过去分词 )
参考例句:
  • He was stigmatized as an ex-convict. 他遭人污辱,说他给判过刑。 来自辞典例句
  • Such a view has been stigmatized as mechanical jurisprudence. 蔑称这种观点为机械法学。 来自辞典例句
12 stigmatization 10c74b812d09b83bee2002f3b4aa26b5     
n.描绘,陈述
参考例句:
13 chronic BO9zl     
adj.(疾病)长期未愈的,慢性的;极坏的
参考例句:
  • Famine differs from chronic malnutrition.饥荒不同于慢性营养不良。
  • Chronic poisoning may lead to death from inanition.慢性中毒也可能由虚弱导致死亡。
14 recess pAxzC     
n.短期休息,壁凹(墙上装架子,柜子等凹处)
参考例句:
  • The chairman of the meeting announced a ten-minute recess.会议主席宣布休会10分钟。
  • Parliament was hastily recalled from recess.休会的议员被匆匆召回开会。
15 stigmatizing a439a524b86cf0ed076d1e37e322db08     
v.使受耻辱,指责,污辱( stigmatize的现在分词 )
参考例句:
  • Laing regards the concept of mental illness as both unscientific and stigmatizing. 菜恩认为精神病的概念是不科学的和诬蔑性的。 来自辞典例句
  • The existing social benefits are considered to be stigmatizing and repressive. 现存的社会福利被指责为是无价值的、残暴的。 来自互联网
16 recesses 617c7fa11fa356bfdf4893777e4e8e62     
n.壁凹( recess的名词复数 );(工作或业务活动的)中止或暂停期间;学校的课间休息;某物内部的凹形空间v.把某物放在墙壁的凹处( recess的第三人称单数 );将(墙)做成凹形,在(墙)上做壁龛;休息,休会,休庭
参考例句:
  • I could see the inmost recesses. 我能看见最深处。 来自《简明英汉词典》
  • I had continually pushed my doubts to the darker recesses of my mind. 我一直把怀疑深深地隐藏在心中。 来自《简明英汉词典》
17 explicit IhFzc     
adj.详述的,明确的;坦率的;显然的
参考例句:
  • She was quite explicit about why she left.她对自己离去的原因直言不讳。
  • He avoids the explicit answer to us.他避免给我们明确的回答。
18 risky IXVxe     
adj.有风险的,冒险的
参考例句:
  • It may be risky but we will chance it anyhow.这可能有危险,但我们无论如何要冒一冒险。
  • He is well aware how risky this investment is.他心里对这项投资的风险十分清楚。
19 auto ZOnyW     
n.(=automobile)(口语)汽车
参考例句:
  • Don't park your auto here.别把你的汽车停在这儿。
  • The auto industry has brought many people to Detroit.汽车工业把许多人吸引到了底特律。
20 anecdote 7wRzd     
n.轶事,趣闻,短故事
参考例句:
  • He departed from the text to tell an anecdote.他偏离课文讲起了一则轶事。
  • It had never been more than a family anecdote.那不过是个家庭趣谈罢了。
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TAG标签:   访谈录  pressure
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