Do you want to discuss boring politics? (13 Viewers)

shmmeee

Well-Known Member
To be clear you’re also paying it in housing costs elsewhere. Let’s be blunt the reason I don’t like the school my kids have to go to is because of the other kids that go and a vague hope that in another school brighter kids will pull mine up rather than the opposite.

You want your kids school mates to be going to uni not sucking balloons on a field. Which is the same as wanting them to be CEOs and PMs and not middle class.

Not sure what you do. The more I’ve thought about this the more I’ve landed on removing school choice and just doing a lottery.

On a positive note saw some research thebother day that showed bright kids the school doesn’t matter too much in the long run in terms of outcomes. Though that was America and here the class system does all the damage. My GF can’t believe how important which school you go to can be here.
 

shmmeee

Well-Known Member
On the fence about the EU. losing the market was the dumbest of dumb moves. But equally the EU is pretty shocking as an institution, especially when it comes to tech where it sounds like your Mum in the 90s. But then UK govt is just as incompetent so I’m probably back to where I was at the referendum which is better to be in.
 

Brighton Sky Blue

Well-Known Member
To be clear you’re also paying it in housing costs elsewhere. Let’s be blunt the reason I don’t like the school my kids have to go to is because of the other kids that go and a vague hope that in another school brighter kids will pull mine up rather than the opposite.

You want your kids school mates to be going to uni not sucking balloons on a field. Which is the same as wanting them to be CEOs and PMs and not middle class.

Not sure what you do. The more I’ve thought about this the more I’ve landed on removing school choice and just doing a lottery.

On a positive note saw some research thebother day that showed bright kids the school doesn’t matter too much in the long run in terms of outcomes. Though that was America and here the class system does all the damage. My GF can’t believe how important which school you go to can be here.
Private schools are not a meritocracy. What society needs is much better comps which would require more investment and effort to provide than a typical government is willing to do.
 

chiefdave

Well-Known Member
We do know the long term effects of obesity though.
This seems to be in the news at the moment as Streeting has been talking about it. Interestingly on the radio they mentioned the NHS has done a cost benefit analysis which shows huge long term savings by prescribing these drugs to those who need them.

Another point that was mentioned, which may be relevant to the way its been discussed on here, was that a lot of people are mistaking who they are aimed at and who they would be prescribed to. They aren't aimed at people who want to lose a few pounds, although that seems to be the biggest market when purchased privately, they're prescribed for people who have been through the current NHS weight loss program with little to show for it and have at least 3 weight related ongoing conditions, although the suggestion is that should be dropped to 2.

Those are conditions which require lifelong treatment and medication which can be reversed via the level of weight loss they are seeing with these new drugs. So essentially you're swapping out one potentially life long medication with another. They also said this seems to be the only drug where people raise the issue of it being lifelong. Nobody is arguing we shouldn't treat other issues with lifelong medication.
 

Brighton Sky Blue

Well-Known Member
This seems to be in the news at the moment as Streeting has been talking about it. Interestingly on the radio they mentioned the NHS has done a cost benefit analysis which shows huge long term savings by prescribing these drugs to those who need them.

Another point that was mentioned, which may be relevant to the way its been discussed on here, was that a lot of people are mistaking who they are aimed at and who they would be prescribed to. They aren't aimed at people who want to lose a few pounds, although that seems to be the biggest market when purchased privately, they're prescribed for people who have been through the current NHS weight loss program with little to show for it and have at least 3 weight related ongoing conditions, although the suggestion is that should be dropped to 2.

Those are conditions which require lifelong treatment and medication which can be reversed via the level of weight loss they are seeing with these new drugs. So essentially you're swapping out one potentially life long medication with another. They also said this seems to be the only drug where people raise the issue of it being lifelong. Nobody is arguing we shouldn't treat other issues with lifelong medication.
Because by creating a situation where you’re not changing the underlying cause of obesity we’ll be issuing lifetime supplies of a drug for what is ultimately a combination of eating compulsions and societal facilitation of that compulsion.

Prevention is better than the cure.
 

Grendel

Well-Known Member
This seems to be in the news at the moment as Streeting has been talking about it. Interestingly on the radio they mentioned the NHS has done a cost benefit analysis which shows huge long term savings by prescribing these drugs to those who need them.

Another point that was mentioned, which may be relevant to the way its been discussed on here, was that a lot of people are mistaking who they are aimed at and who they would be prescribed to. They aren't aimed at people who want to lose a few pounds, although that seems to be the biggest market when purchased privately, they're prescribed for people who have been through the current NHS weight loss program with little to show for it and have at least 3 weight related ongoing conditions, although the suggestion is that should be dropped to 2.

Those are conditions which require lifelong treatment and medication which can be reversed via the level of weight loss they are seeing with these new drugs. So essentially you're swapping out one potentially life long medication with another. They also said this seems to be the only drug where people raise the issue of it being lifelong. Nobody is arguing we shouldn't treat other issues with lifelong medication.

These aren’t weight reducing drugs - they are appetite suppressing - there is a difference.

No one has any idea what being on them long term would do and there are considerable side effects.

Another unintended consequence is that it reduces the Dopamine impact of alcohol so many addicted could be cured. Perhaps they should have it as well?

If there is an acknowledgment a person can’t stop eating surely the better option would be to fund surgery to reduce the stomach which means it’s impossible to over eat
 

fernandopartridge

Well-Known Member
These aren’t weight reducing drugs - they are appetite suppressing - there is a difference.

No one has any idea what being on them long term would do and there are considerable side effects.

Another unintended consequence is that it reduces the Dopamine impact of alcohol so many addicted could be cured. Perhaps they should have it as well?

If there is an acknowledgment a person can’t stop eating surely the better option would be to fund surgery to reduce the stomach which means it’s impossible to over eat

There is unlikely to be anywhere near the clinical capacity to provide that surgery ever
 

Grendel

Well-Known Member
There is unlikely to be anywhere near the clinical capacity to provide that surgery ever

No I know but the point I’m making is these aren’t drugs that make you lose weight. If someone decides it’s not pleasant feeling nauseous all day and unable to face food they will as addicts just at some point come off them and start filling their faces again
 

shmmeee

Well-Known Member
Because by creating a situation where you’re not changing the underlying cause of obesity we’ll be issuing lifetime supplies of a drug for what is ultimately a combination of eating compulsions and societal facilitation of that compulsion.

Prevention is better than the cure.

“First build an entirely new society”

Classic.

Don’t let the perfect be the enemy of the good. We have created a life changing drug, hand wringing about having to take it is just silly.

You’re fighting against human nature. People haven’t become less moral or more disordered, they’ve just got richer and foods got cheaper and more accessible. Neither of which you want to reverse in a society that still has hunger.
 

Grendel

Well-Known Member
this forum never ceases to amaze. not sure why they even bother to study the effects of new treatments when they could just log on here and get all the answers.

Have there been studies of the long term impact?

I do understand addictive behaviour and long term medication that suppresses addiction as opposed to cognitive behaviour change won’t work
 

Brighton Sky Blue

Well-Known Member
“First build an entirely new society”

Classic.

Don’t let the perfect be the enemy of the good. We have created a life changing drug, hand wringing about having to take it is just silly.

You’re fighting against human nature. People haven’t become less moral or more disordered, they’ve just got richer and foods got cheaper and more accessible. Neither of which you want to reverse in a society that still has hunger.
Educate people on how weight gain and loss really work then make it much easier to self exclude yourself from junk food facilitators.

And you’re right, food has got cheaper. Bags of vegetables for 50p compared to £15-20 for a Domino’s pizza.
 

shmmeee

Well-Known Member
Educate people on how weight gain and loss really work then make it much easier to self exclude yourself from junk food facilitators.

And you’re right, food has got cheaper. Bags of vegetables for 50p compared to £15-20 for a Domino’s pizza.

Where do you stand on Finasteride?
 

MalcSB

Well-Known Member
Educate people on how weight gain and loss really work then make it much easier to self exclude yourself from junk food facilitators.

And you’re right, food has got cheaper. Bags of vegetables for 50p compared to £15-20 for a Domino’s pizza.
You have to cook the vegetables though. So much better to have ready made food - you don’t even have to expend the calories to collect it these days.
 

fernandopartridge

Well-Known Member
“First build an entirely new society”

Classic.

Don’t let the perfect be the enemy of the good. We have created a life changing drug, hand wringing about having to take it is just silly.

You’re fighting against human nature. People haven’t become less moral or more disordered, they’ve just got richer and foods got cheaper and more accessible. Neither of which you want to reverse in a society that still has hunger.

I don't know what the explanations are for obesity levels in different countries? The South Pacific ones, is it genetic?


Why is the obesity rate in France nearly a third of that in the UK?
 

Brighton Sky Blue

Well-Known Member
I don't know what the explanations are for obesity levels in different countries? The South Pacific ones, is it genetic?


Why is the obesity rate in France nearly a third of that in the UK?
Those nations in the Pacific have it because they have to import basically all of their food and they end up importing cheap high calorie stuff.

As for the UK, I think we have it because for centuries in a harsh climate and lots of manual work you needed hearty food to sustain you. Dramatically those industries went away but the food stayed and people are more sedentary.
 

Brighton Sky Blue

Well-Known Member
You have to cook the vegetables though. So much better to have ready made food - you don’t even have to expend the calories to collect it these days.
Makes a big difference for me to get my bank to block gambling transactions. Just extend that to fast food providers and delivery services.

If you know it isn’t an option, it soon goes from your mind.
 

fernandopartridge

Well-Known Member
Those nations in the Pacific have it because they have to import basically all of their food and they end up importing cheap high calorie stuff.

As for the UK, I think we have it because for centuries in a harsh climate and lots of manual work you needed hearty food to sustain you. Dramatically those industries went away but the food stayed and people are more sedentary.

Not that I believe the French eat foie gras for tea every night but their national dishes could all be described as fairly hearty. In the same way you can't out train a bad diet, surely your job can't either. It feels like there is more to it. I think it's likely more to do with time, as in time to prepare meals and eat them.
 

MalcSB

Well-Known Member
I don't know what the explanations are for obesity levels in different countries? The South Pacific ones, is it genetic?


Why is the obesity rate in France nearly a third of that in the UK?
The attitude to food is entirely different in France. School meals are nutritious with chips and hot dogs not making an appearance. Very difficult to find an eating place open outside lunch and dinner ‘times”.
 

Brighton Sky Blue

Well-Known Member
Not that I believe the French eat foie gras for tea every night but their national dishes could all be described as fairly hearty. In the same way you can't out train a bad diet, surely your job can't either. It feels like there is more to it. I think it's likely more to do with time, as in time to prepare meals and eat them.
Don’t they also still smoke fairly heavily? That is a known appetite suppressant also, though the other lifestyle factors probably play a role.
 

MalcSB

Well-Known Member
Not that I believe the French eat foie gras for tea every night but their national dishes could all be described as fairly hearty. In the same way you can't out train a bad diet, surely your job can't either. It feels like there is more to it. I think it's likely more to do with time, as in time to prepare meals and eat them.
I think a high calorie and high fat diet was normal for people who were involved in heavy manual labour work. Those jobs have gone, everyone is more sedentary now but the traditional diet has remained.

It really doesn’t take long to batch cook. Is it laziness and the desire for instant gratification plus lack of education?
 

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