Fat in Japan? You're breaking the law.
As the health care debate rages in the US, Tokyo lawmakers set a maximum waist size. Are you too fat for Japan?
Though the health exams for metabolic syndrome factor in blood pressure, cholesterol, blood sugar, weight and smoking, waist size is the most critical element in the Japanese law — and perhaps the most humiliating.
The hesitancy of some Japanese to expose their bare stomachs to the tape measure has led the government to allow the tape measures to be administered to clothed patients. Those who elect not to strip down are permitted to deduct 1.5 centimeters from their results.
The crudeness of the system has alarmed some doctors. Satoru Yamada, a doctor at Kitasato Institute Hospital in Tokyo, published a study two years ago in which several doctors measured the waist of the same person. Their results varied by as much as 7.8 centimeters.
“I cannot agree with waist size being the essential element,” Yamada said.
Perhaps more astounding, even before Japanese lawmakers set the waistline limits last year, the International Diabetes Federation (IDF) amended its recommended guidelines for the Japanese. The new IDF standard is 90 centimeters (35.4 inches) for men and 80 centimeters (31.5 inches) for women. But the Japanese government has yet to modify its limits.
On the day of her exam, Yabe arrived at the clinic at 8:30 in the morning. The battery of tests lasted an hour. The result: her waist was 84 centimeters — safely under the limit. She had shed 6.5 pounds thanks to her diet and exercise.
A week later, however, Yabe was back to eating pasta and other favorite foods.
“I want to keep healthy now, but I don’t know,” she said. “Maybe in December, I will have many bonenkai [year-end parties]. And next summer I will drink beer, almost every day.”
This article and especially the title is grossly misleading and you should retract several parts. Let me say this, no one, absolutely no one in Japan is being punished by law for being overweight the so-called 'counseling' you are referring to is simply the doctor making some suggestions on how you could lose weight. It is not some kind of mandatory community service where you could be arrested or fined. By reading this article one would think that the police are going around measuring peoples' waists.
I am so sick of these inaccurate articles about Japan. These are the type of shoddy, exaggerated, poorly researched articles that lead to the Mainichi Daily News being shut down.
Diggers: Bury this article.
I have tried to post my own thoughts and apparently had them deleted twice by machines, not people, I hope.
Let me just say that you are right on about all points. Particularly, shoddy exaggeration drives me nuts also. Japan's health outcomes obviously deserve better treatment by journalists. I would have settled for a shoutout from Michael Moore in Sicko, but it was not forthcoming.
America needs to learn about Japan in a more evenhanded way or it will never be able to benefit from Japan's experience. America keeps inventing the wheel, European-style, with the help of people like D. Nakamura.
Fines are punishment. Those fines are by law.
Unbelievable.
Where exactly did you get the idea that it is illegal to be fat in Japan? Oh, I know, you made it up to sensationalize the second-largest economy in the world, because they are so wacky and mysterious.
Here's how it works: When your company gives the free annual health checkups required by law (required for the company to offer them, not for you to take them, but they are quick, comprehensive, and free--Just did mine this morning!), if the results show too many people over the (admittedly preposterously small) arbitrary waistline chosen by the idiot old men running the country, the company will have to pay more to the insurance company to cover the extra costs associated with all the fatties in their employ.
That's it.
Although I believe the story about the woman in the article, that kind of idiotic loyalty to company still exists in Japan; usually, in my experience, among morons who know they'd be the first on the chopping block if the company were to downsize. There's no reason she needs to worry, however; she just doesn't want to be seen as one of the poeple who might bump up everyone's health insurance rates.
So the public/private insurance companies are adding a "fat tax" to organizations with too many fat people, to offset costs.
Not so wacky or mysterious now, is it?
Of course you are right Kyle. It seems that you have been in Japan long enough to know that these "Laws" amount to guidelines. Someday violation of this "law" will justify something that someone wanted to do anyway. That is how it works. Personally, I doubt even that will happen. It amounts to a drum beat telling people to slim down. Nothing more.
You and I know the drill. Whenever a journalist gets assigned to Japan, they have to write the wacky anecdote just to show how weird Japan is. Ugh. It all seems so harmless and it has gone on for ... well... truly forever. Of course, it is harmful, however, in this day and age where words like "death panels" and "fat laws" and "government laws about waistlines" will pop up to silence or obscure debate on reasonable health policy.
I see a time in the not too distant future where a US lawmaker will say, "Maybe we can learn a thing or two from Japan." Then some congressman from South Carolina will interrupt him to say, "David Nakamura from the Washington Post says that Japan has Fat Laws that discriminate against people with waistlines bigger than 33 inches! That's not MY AMERICA!" earning general applause from the beef and corn lobbies.
I love this. We need this in America!!
CNN Video on Japanese Fat Fines: http://tinyurl.com/4nzn8w
ABC Article on the same topic: http://tinyurl.com/5shmkx
My comments were erased when the page refreshed.
David Nakamura is a CFR Fellow and award-winning Washington Post reporter, from what I gather. Despite that, I hope not BECAUSE of that, this headline and the article distort the processes, impacts, and outcomes of health policy.
Japan's longer life expectancy and better health are not the outcome of universal health care, lower poverty, better prenatal care, lack of firearms, slow traffic, and a lot more looking out for the other guy. No. Japan is better off because of Fat Police and Fat Laws.
What a wonderful implication for American people. Thanks to your article, they will be able to rest assured that they have the best healthcare system in the world, where people can be free from FAT PANELS, discrimination in the workplace, and government intervention with respect to the depth of their navel. USA! USA!
An award winning journalist has reduced effective health policy-making to the absurd, presumably to make it palatable for an American audience. What a terrible disservice. America could learn a lot from Japan, but it won't... no thanks to Mr. Nakamura and the Council on Foriegn Relations.
No thank you. I would rather take personal responsibility for myself than to have government spoon feed me what they think I should be doing.
This sounds exaggerated to me, based on what little bit I know of Japan, but I guess it's possible.
For the people lauding a plan like is described in the article, I have a question. What do you do about the people who aren't obese, but the obesity indicator numbers say they are?
For example, I am now fat. I admit this (several years of being stuck doing research and working a fairly sedentary job will do that...). However, a few years ago I was able to pass the Army's Special Forces Entrance Physical, and before that I was able to jog C.A.P.'s 20 mile Search and Rescue qualifications test without ever stopping. My breaks consisted of slowing to 5-10 minutes of walking. Yet, no matter when BMI (America's obesity measure) was taken, I was ALWAYS in the range of Obese to Morbidly Obese, depending on who made the scale in a given year. It didn't matter that, at the time, I was pretty much a walking tube of muscle; the numbers said I was loaded with fat. Everyone I've ever known who isn't a beanpole has had the same issues as well when they've been in a field of work that has BMI checkups.
So I reiterate, if you make a counseling plan for obese people how do you deal with people who are like I was? Do they just get to be bugged by some bureaucrat, who only looks at numbers and could give a dang less about what may actually be the case, for the rest of their days no matter what?
Hint: Based on how government operates, the answer to this is "Yes, you get to have letters mailed to you complaining about how you're hurting everyone else's insurance rates, etc., with your fatness and that you need to exercise more and eat better...even if your daily exercise is a 2 mile run and other mixed exercises and your diet is balanced."
Where exactly did you get the idea that it is illegal to be fat in Japan? Oh, I know, you made it up to sensationalize the second-largest economy in the world, because they are so wacky and mysterious.
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