Dear Georgia Davis,
I suppose congratulations are in order. At 15 years old and weighing 33 stone (210kg), you were dubbed Britain’s fattest teen. After winning a scholarship to an American weight loss camp last year, you have lost 14 stone (89kg), almost half your body weight. However, at age 16 the funding for your treatment is running out and you want the British taxpayer to pick up the tab, leaving me distinctly unamused.
Your overeating began at a very young age when your dad died. ”I was letting my emotions control me. I was always upset, so every time I got upset I would comfort eat.” As well as family pressures, you started to experience problems at school where you were bullied, and your comfort eating continued. “I would eat pretty much all day. I would eat everything, any kind of food.” Bread – up to three-quarters of a loaf a day – milk, cola, crisps, chocolate biscuits and cakes were particular favourites. “It made me feel better for a minute or two, but then I’d feel down again, so I’d eat again, and it would just continue on and on.” Your mother found your habits impossible to control. By the time you were 15, you had reached 33 stone (210kg), and you were a UK size 38. At 5′6, you were morbidly obese. But after nine months at the Wellspring Academy, an American fitness school which awarded you a scholarship, you weigh under 19 stone (121kg) and are a size 20. Your calorie consumption has gone down from around 13,000 a day to around 1,200 thanks to your new routine. ”It’s a structured day. It helps you control your life accordingly. Basically, you wake up around 6.30 and you go to morning activity for about an hour. Once you’ve done that, you go to breakfast and then you have school and basic classes. Then you have lunch in between classes, and then more activity and then dinner, free time and then more activity before you go to bed.” You credit cognitive behavioural therapy with helping you understand the reasons for overeating and learning how to control it. The school says you need to complete another year to lose weight and keep it off, but that it can only fund her until Christmas. Mike Davidson of the Wellspring Academy said: “Georgia is still about 8 stone from her healthy weight and has not dealt with all of her emotional needs or unlocked the habits around her eating yet that could cause her to relapse. She needs more time.” The NHS, after initially refusing to provide the estimated £23,000 needed, is now reviewing its decision. “I want to help as many people as I can, because during this time I’ve been doing this academy, I’ve realised that there are so many people out there with the same problem that I have. And I think that if I can do this with the NHS, if they fund me, then the NHS will help fund others… so that other people will be happy and normal too.”
Hmmm. There are three issues running around my head: personal responsibility, opportunity cost and value-for-money. On the subject of personal responsibility, you’re asking the taxpayer to stump up £23,000 because you eat too much. Wellspring Academy has already given you an effective rountine and helped you understand why you are overeating, so surely the argument in favour of you needing this money is weakened by the existence of the scholarship? And how long do you expect the taxpayer to fork out for your treatment? What if another £23,000 isn’t enough and you still want more treatment once the next course runs out? At what point is it your responsibility to tackle this issue (assuming that it isn’t your responsibility right now, which is debatable)? The opportunity cost of what you are asking is also staggering. How many heart bypass operations could £23,000 fund? How many Intensive Care beds could be supported with that amount of money? You are asking for a staggering sum, all because your willpower isn’t strong enough. Finally, value for money is a double-edged sword. There is a part of me that thinks handing over £23,000 because you cannot control your eating is outrageous, but then I wonder whether an investment now might save the taxpayer money in the long run relative to other treatments that your excessive weight might demand in future. Then again, even if it might prevent future expenditure on your obesity, there are still major objections purely on the grounds that eating is a choice whereas so many of the other illnesses that the NHS treats are not the responsibility of the patient in any way.
If this ‘test case’ does indeed find in your favour, the NHS is going to have a seriously big problem on its hands. For every obese person to be entitled to massive sums of taxpayers’ money just because they are unable to resist stuffing their faces would be deeply concerning on both financial and moral grounds. The message would be broadcast loud and clear: destroy your body through excessive eating as much as you want, but don’t worry – the taxpayer will pay for whatever you need to bring your weight down again. Personally, I’d much rather see the money put into bereavement counselling and other preventative measures than giving it to fatties who fail to show the willpower that most of us manage to draw on every day of our lives.
Yours sincerely,
A.Tory
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