Despite its admiration for for Dr. Benjamin, the Disease Management Care Blog is disappointed over her recitation of the usual anti-obesity bromides: eat fewer calories, improve food choices, promote physical activity, bring physical education/playtime back to schools, create worksite wellness programs, engage the physicians and establish healthy communities. Public health experts have been reciting the same thing for years without effect .
Here's some unasked-for advice DMCB to our Surgeon General
While you serve at the political pleasure of the President, you also have the benefit of Senate confirmation, the stature of your office and the confidence of the American people. Why not use it?
To wit, you could point out ....there are many reasons to not listen to Mike Hukabee , but there's one reason why he has some credibility on the topic. You need to announce that your leadership on the topic will start at the top. 'Nuff said.
.... that there may be merit to conducting expeditiously conducted pilot programs to determine the role of medications to combat obesity, especially in children. The DMCB doesn't like the idea either, but since good comparative effectiveness research indicates just diet and exercise has little impact, what other options are there? Bariatric surgery?
The DMCB admits to bringing up some controversial topics. The point is that it came up with these in an afternoon while working on other stuff. Our Surgeon General can report on these and other options in the battle against obesity. All she needs to do is to take a cue from her more famous predecessors, step outside the political safe zone, invest more effort in thinking about breakthrough/high impact approaches and challenge Americans to actually do something fer cryin' out loud.