I write this post as I prepare to head to the high school track for a jog. I'm an avid jogger. Moreover, I'm religious about exercise (perhaps the only thing I'm actually religious about). I've reached a point in my life where I'm more fit than I've ever been. Whatever I'm doing day-to-day, exercise has to be part of my routine. It's a must. But this isn't how it's always been.This post was stimulated by an article in the New York Times about taxing people more for being overweight. With the health care reform debate all over the news, perhaps one of the most important--but oft-overlooked--factors is prevention. Health care costs are rising exponentially, and will continue to do so, threatening our economy and crushing the middle class (which is why reform is essential). Yet "reform" is really about reforming the insurance industry. Rising costs are due to people becoming sicker. Another recent article in the Huffington Post reported that we spend $2.1 trillion a year on medical care, 95 percent of which treating diseases already occurring, 75 percent of which are largely preventable (diabetes, heart disease, obesity).
If we are talking about serious reform, and if we want the whole country in on the game, we've got to start having conversations about becoming a healthier population. Americans are notorious consumers. We don't just eat, we overeat. We don't just drink, we binge. Americans love excess. And yet it's killing us.
The Times article reports that people over 50 weigh 20 lbs more today than they did in the 1970s. People are eating more and exercising less. This has a lot to do with people's daily routines. With work and childcare, exercise is difficult to pencil-in. And with the economy in recession, folks are forced to live on the cheap. Fruits and vegetables happen to be more expensive than snacks, soda, and fast food. It's a painful reality.
And yet, the logic is sound. In an insurance system, you pay more for risky behavior. If you get in a car accident, your insurance goes up. The assumption is you might be a reckless driver, and higher insurance acts as a deterrent. Shouldn't it be the same for health insurance? If you purposefully make yourself unhealthy, by smoking or eating poorly (and yes, they are similar) shouldn't you pay more?
Someday I'd like to write a book called How to Live a Happy Life. Now, I'm not claiming to be an expert on health or wellness, but I feel healthy. I feel fit. And I don't get sick often. Making exercise and fitness an integral part of your life, I would recommend, is absolutely essential.
As I said at the start, I haven't always been fit. I used to weigh over 200 lbs in high school (now I hover around 188). I was never an active kid. Finally, because I felt left-out, I joined the track team in my sophomore year. I can remember the first day of practice. We did a 3/4 mile warm-up. I can remember how painful it was for me. My head was pounding by the end. It was awful. Everyday after that I told myself I couldn't keep it up. I'd think, "Tomorrow I'm going to quit." But remarkably I didn't.
That was it. Since then I've been hooked. Today I'm very fit, but it's taken me a long time and a lot of persistence to get to where I am.
Whenever I talk to friends who are unhappy with their weight or bodies, and they tell me "I want to lose weight," my response is only ever, "You can." Yes genetics are involved, but exercise is more than about physical appearance. It's also about improving your cardiovascular system and making yourself stronger. If you jog or bike regularly, your heart will be so much healthier.
But it also seems to me there are some folks who go to the gym and waste time. If you're serious about becoming healthy--and I think becoming healthy requires both diet and exercise--then working out should be difficult. I still go jogging and have to push myself. It's important you become your own coach. When you're running and you begin to lag, you need to keep yourself going. It has to be a challenge. Do one more lap. Sprint the last straight-away. If you go to the gym and do the same thing everyday at the same speed, you might not be helping yourself. You've got to sweat. And sometimes, It's got to hurt. It's a total cliche, but it's absolutely true: no pain, no gain.
Practical considerations matter, of course. Physical impairments like knee problems etc. It's important that you're conscious of those things and that you don't make them worse. But there are ways to still remain healthy, like doing a lower impact exercise like biking or the elliptical.
So I think I've ranted too much here already. My main point is this: if you want to lose weight and get healthy, you can. But you have to be serious. Pay attention to what you eat. Healthy food and unhealthy food are easy to recognize. And exercise. I've reached a point where if I don't work out, maybe for a few days, I get depressed. My body starts thinking, "What's wrong? This isn't normal." Working out absolutely has to be part of my daily routine. But you can only reach that point if you're persistent. It will take time (as it did for me) and that depends on the individual.
If you exercise more, the improvements will come. Your self-image will improve, you will have more energy, you'll be sick less, you'll never get depressed, and you'll be an overall more productive individual.
In the end, easier said than done. Again, we don't have a culture in the United States that encourages being healthy. There are all kinds of obstacles. But if we don't do something, if we don't have these kinds of conversations, as harsh as the topics may seem, then we'll continue to become less healthy. We can get coverage for the 46 million uninsured, but the system will never improve and never become less expensive if folks don't start taking responsibility for themselves.







