Explaining Health at Every Size

I’m often asked how I explain HAES to others. In my experience this is trickier than it sounds. (Thanks to reader Knesija for the inspiration for today’s blog!)

First, you have to decide your goal:

  1. Do you simply want share what you do?
  2. Do you want to present it as an option for someone else?
  3. Are you trying to win a debate by saying that it’s better than something else.
  4. Are you trying to convince someone to practice HAES?

I’m not a big fan of 3 or 4 personally, but it’s all up to you.

When I want to explain HAES I usually have four goals:

  1. Explain it as a respectable path to health
  2. Present it as an option in case people don’t know about it
  3. Throw in a couple of resources
  4. Let people decide what they want to do and respect their choices

One of the things that still surprises me are the number of people who do not know that there is an option to be healthy that does not include trying to lose weight.  That is, of course, the whole point of this blog and my activism work.  I want to create the largest possible platform from which to tell people about this option.  I’m not invested in them choosing it or not, I’m not trying to persuade, I just want them to know that it’s out there.

I used to just say “I listen to my body and give it what it asks for”.  But I found the reaction to that was generally incredulous at best.  I realized that I wasn’t explaining HAES with the same gravitas with which other people describe their path to health.  As a society, at least in the States, we have fallen in love with diet programs, and our culture loves the idea of restricting and sacrificing to be thin.  So when someone says I’m on [Jenny Craig, Atkins, Weight Watchers etc.] people typically recognize the diet and respond in the affirmative. Even if they disagree with the diet choice, they understand it as a path to health and a discipline and they respect that.  When I say I practice HAES, I often get an eye-roll before I can explain what it is because people see it as an “easy way out” or justifying my fatness (although for my money it has taken me much more discipline to opt out of the diet culture than it did to be part of it, even as a failure.)

So I choose to very specifically talk about HAES as a practice – a path to health – that is just a respectable as any other life choice.  When the subject comes up I say some or all of the following:

I practice a version of Health at Every Size: I believe that my best path to health is to concentrate on healthy behaviors rather than on having a smaller body. I used to really focus on dieting and losing weight and I was terribly unhealthy and still fat.  Now that I practice HAES I’m the same weight I always was, but I’m very healthy and I’m much happier.  I originally heard of the idea through Linda Bacon.  She literally wrote the book on HAES and she has an awesome website with a more technical definition and lots of resources. You can also check out my blog and the blogs I link to for more perspectives.

I take my time, I don’t rush, I take great care not to accidentally appear as if I’m seeking their approval.  If they ask follow up questions I’m happy to answer but the important thing to me is that I presented my version of HAES as a serious health practice, and I stuck to my own experience (notice I didn’t add “so you should try it!”) I present the option, demand respect for my choices, and respect other people’s choices. Throw in the understanding that some people don’t want to understand or respect others people’s choices –  they just want to tell you that they are right and you are wrong –  and you’re all set to ‘splain.

On another topic, I’m sorry that I’m so behind on replying to comments and e-mails and such, but I do read and appreciate every one – even if it’s taking me a little while to reply.  Also, I have seen comments lately on other blogs talking about how awesome the comments here are.  Of course I’m not surprised because I already know that you are the most awesome readers ever, but I wanted to make sure that you all know that news of your ass kickery has traveled far and wide!

Curvy, Plump, Plus-Sized, BBW, Fatty

I use the descriptor “fat”.  I like it because it allows me to reclaim a term that has been used against me. It’s my way of telling the bullies that they can’t have my lunch money anymore. But that doesn’t mean that it’s for everyone.

Some of the labels I’ve heard are:

  • curvy
  • plus-sized
  • zaftig
  • person of size
  • BBW/BHM (Big Beautiful Woman/Big Handsome Man
  • fat
  • pleasantly plump
  • rubenesque

I don’t think that any of these are better or worse. Here’s what I do think:

You are allowed to use whatever term you prefer.  So is everyone else.  Unless I missed an e-mail, nobody has been appointed  Grand Label Overlord.  I don’t care if you don’t think someone is actually “Rubenesque” or big enough to be BBW.  I never thought that I would quote Gollum from Lord of the Rings but:  “Not It’s Business!”  Really, it’s not.

Think before you use the terms negatively.  When I hear someone say “Real women have curves” or “Sticks aren’t sexy” I cringe. Because I know women who aren’t curvy and that doesn’t make them un-real.  And I know very thin women and they don’t like to be called names and told that they aren’t attractive any more than I and my fat friends do.  I’m guessing that the road to size diversity is probably not paved with hypocrisy so I try really hard not to do to someone else exactly what I don’t want done to me.

Your experience is your experience, not everyone’s experience.  You cannot assume that because something works for you that it works for anyone else. Maybe it was empowering for you to wear a bikini.  That’s awesome, but that doesn’t mean that it will be empowering for everyone.  Maybe you practice intuitive eating.  Fantastic, but if someone else prefers to measure their food it doesn’t make them any less body positive than you.  Some people feel that Health at Every Size means that everybody can be healthy at every size.  Some think it means there are healthy and unhealthy bodies at various shapes and sizes.  Some subscribe to the theory that each body has a set point.  These are all things that are interesting and good academic discussions to have, but everyone gets to choose their own experience and path to health.

To me, the most important thing isn’t what we call ourselves, or the path to health that we choose.  It’s respect.  And that includes demanding respect for our experience and choices and giving other people respect for theirs. I believe that my right to punch ends at the tip of everyone else’s nose. Therefore, I don’t try to tell anyone how to live, and I don’t allow other people to tell me how to live. And while I would never say that you have to live this way, I will say that it is working out great for me!

WTF Lane Bryant Clerks?

I have recently been becoming more of a fatshionista and it’s included several trips to a couple different locations of Lane Bryant.  There are many clerks there who are great (including a some who have seen my blog on Jezebel and talk about it, which is actually really cool…). Of the limited selection of clothing stores in my style (and because I live far away from re/dress in NYC) they are probably my favorite store in terms of  clothes.  I do not like their models and we’ve talked about that here before.  However on the last three trips I’ve noticed a trend in body shaming by the clerks.

In the first incident I was in line to pay, and a customer in front of me mentioned that she had thought about wearing Spanx but that they looked uncomfortable.  So the clerk who was not checking people out launched into a diatribe to everyone in line about how she used to be against them, but then she wore them for a special occasion and now she won’t go out without them on.  That’s her experience and that’s fine. But then she said “I can’t believe that I ever subjected people to all of my lumps and bumps before.  I mean, who wants to see that?”.  If you read this blog you know my feelings about Spanx and their marketing but this was just beyond the pale.

In My Head:  Hold on there fat-store sales lady.  Did you just try to sell us all something by trying to convince us that nobody wants to look at us, and that we are doing the public a disservice by not making ourselves into over-stuffed underwear-sausages?

Outloud:  I think Spanx are uncomfortable and make me look like over-stuffed underwear sausage.  And I prefer to see people’s lumps and bumps so there is at least one person who wants to look at that!

Several of the women in line laughed and we got checked out and on our way but I felt a little queasy handing money to a fat clerk, in a store that caters to fat women, who was selling using fat hate.

In the second incident I was attempting to buy a pair of pants when this happened:

Clerk:  You don’t want those, you want these – they are way better.

Me:  They look the same to me?

Clerk: They look the same, but you won’t because they have our Tighter Tummy Technology. They’ll pull in that problem area.

Me:  I don’t consider my stomach to be a problem.

Clerk:  Oh you know, we all have those flaws to mask.

Me:  No.  Some people choose to think of their bodies as flawed and that’s their right. I do not think my body is flawed.

Clerk:  Stares at me like I am not speaking English

Me:  I’ll just take these original pants thanks.

Clerk:  (Still looking super confused) Ok?…

The last incident happened just yesterday.  I was bra shopping and I saw a bra that was really pretty but it had a ton of runching on it and lace and I asked the clerk what you could wear it under so that it wouldn’t show.

Clerk:  It doesn’t matter, it will distract people from looking at our stomachs.

Me:  Goldfishing (opening and closing my mouth without being able to get sound out)

Her:  That’s the trick.  We need to get them to look at our face, chest, or feet so they don’t look at our stomach, legs or arms.

In My Head:  Oh what in fat hell?! Who is this ‘we’ you’re talking about?  Do you have a mouse in your pocket that has body image issues too?

Outloud:  There are no parts of my body that I don’t want people to look at.

Her: Well…um… there you go then.

This trifecta of body hate really got me thinking.  As a researcher you learn that one data point is nothing, two points just make a line, but three is the start of a trend.

So, are these clerks just trying to drag me down in their sea of body issues, or is Lane Bryant telling their associates to pour on the body hate to sell expensive shapewear and more expensive verions of pants?

To be clear, I’m not trying to tell anyone else how to live.  I support women buying whatever shapewear they want. I support the clerk having whatever relationship she wants to have with her body. Where it goes off the rails for me is when she tries to make her experience “our” experience, subsequently trying to sell me something by assuming, or trying to convince me, that I hate my body.

My best friend graduated from NYU recently and Bill Clinton was the speaker.  One of the things that he spoke about was that he felt it was a mistake that businesses had gone from caring more about their stakeholders to caring more about their stockholders. I fear that this is an example of that.  Ye olde fat girl clothing store sees how much money the diet industry rakes in by trying to convince us to hate ourselves and our bodies and thinks “Hey, we can do that too, who cares if we contribute to a dangerous unhealthy culture of body hate, we’re gonna make a ton more money!”.

I don’t know if this kind of body shaming happens to thin women when they shop, but I personally feel that as a fat woman when I go into a store that caters to fat women, I should see models who look like me, be affirmed for who I am, and leave feeling fabulous about my body and the clothes I’ve just spent my money to put on that body.  I’ve been “polite but firm” so far but the more this happens the less I’m going to be able to keep my inside voice in.

The Trouble with Proving It

When people are faced with fat people who refuse to buy into the idea that the best path to health is manipulating our body size, they often feel the need to attack us. In my experience they do this in several ways:

Calling us liars.

Using the Vague Future Health Threat (aka the VFHT, this technique takes advantage of the fact that everyone dies to say that someday all fat people will die and even if we get hit by a bus they’ll find a way to blame it on our fatness and then say “see I told you so!”)

Unsupported Generalizations:

“The human body just wasn’t mean to carry that much weight.”  (You don’t know what my body was meant to do)

“It’s okay to be somewhat overweight but at some point you’re just too fat.”  (Are you serious?  “a little”?  “At some point?”  What you are really saying is “I have no clue, but I really want to put my 2 cents in and feel superior.)

Challenging us to “Prove it”.  And this is where I made my mistake because I am healthy and fat and athletic and I’m a great fan of evidence so I took up the challenge and started down a bad path.  Let me tell you how this went so that someone can learn from my mistakes.  This all took place on a listserve:

Someone posted information about me on a listserve of people who, at first, were being reasonable and curious. I was e-mailed and challenged to state my numbers.  I posted my cholesterol, triglycerides, blood pressure etc., all in the exceptionally healthy range.  People called me a liar and VFHTed me.  Besides, a random stranger on the internet asked, what could I do physically?

So I posted pictures of my strength and flexibility

Ragen Chastain: 5’4, 284 pounds. Photo by Richard Sabel
Ragen Chastain: 5’4, 284 pounds. Pilates Instructor: Kate Wodash, Mindful Body Center Austin
Ragen Chastain: 5’4, 284 pounds. Pilates Instructor: Kate Wodash, Mindful Body Center Austin

They said that my ankle must have shattered 30 seconds after the first picture was taken because how could I hold my 284 pound body up on on my toe like that? They said that holding that same 284 pound body up in an arch and doing suspended pull ups isn’t that hard.  They said I must be flexible because I’m all fat and no muscle. They asked why I didn’t show something more athletic.

So I posted a picture of me leaping.

Ragen Chastain: 5’4, 284 pounds. Photo by Richard Sabel

They said that if I did it twice I probably would have shattered bones in my foot.  They asked can’t I post anything where I’m moving?

So I posted a dance video:

They said that it’s slow and that makes it easy (because they aren’t dancers).  They said that if I went any faster I would faint and be out of breath.

So I posted another, faster dance video:

They got mean. They called me a whale, they called me a hippo, they said that it doesn’t matter because I’m still fat.

And there it was, staring me in the face.  The truth.  The reason that “proving it” will never work and the proof that I was wasting my time. Their core belief is that accomplishments only count if you’re thin, so since I’m fat no amount of proving it will ever be enough.  Also, I realized that these are adults who resort to name calling and that I was spending a lot of my time trying to prove things to people for whom I have no respect.

I’ve said before that I’m much more concerned with fat people realizing that they deserve respect than with other people realizing that fat people deserve respect.  It turns out that the same goes for posting pictures or videos or numbers. Don’t like what I post?  Don’t believe me?  I don’t care.  This isn’t about you or for you, I’m done making that mistake.

This is about refusing to be hidden by society. This is because fat people deserve to see themselves represented as more than just a headless picture carrying a fast food bag and I can help with that.  When it comes to athleticism, there are fat people of all stripes – some are couch potatoes, some are active, some are hardcore athletes.  Lots of us are healthy and happy.  This is about showing an example of that.

If you have a picture or video of you doing something awesome, it would be awesome if you would post it in the comments.  I promise I’ll keep it safe from trolls so that you can get your appropriate props and people can see another representation of someone doing something awesome!

Can You Believe She’s Wearing That?

Ragen Chastain 5’4 284lbs Photograph by Richard Sabel

Completing the “If you’re looking for your beeswax it’s not over here” trifecta, I bring you today’s blog.

My blog was mentioned in a woman’s forum where they were talking positively about my work, which was nice.  But then these apparently rational, seemingly kind-hearted, at least open to the idea of Health at Every Size women, went on a rampage about how other women dress.

This has happened to me.  I’ve told the story before of Cindi, the dance judge who told me that she “couldn’t stand to look at me” because I was wearing the dress pictured above and she could see my bare arms.

I see this all the time in any number of guises, from the blatant “can you believe that she’s wearing that” to the “it’s for her own good that’s just not flattering on her”:

If you’re not blueberry or chocolate chip then I don’t want to see your muffin top.

Great, I’m not blueberry or chocolate chip so go ahead and look somewhere else. (And no points for the play on words..it’s just weak all around.)

You’ve just got to find clothes that hide your flaws.

I don’t just got to do anything and my body doesn’t have any flaws, it’s perfect the way it is (and if next week it’s 10 pounds heavier or lighter, it will be perfect then too).

I don’t even want to see thin women wearing tight clothing.

Just. Don’t. Look.

I always wear very modest, figure flattering clothes.

Awesome, rock that shit.  How does this affect anyone else’s clothing choices?

I just think that big girls should wear dark clothing.

I just think you should bite me.

I’m not hating on fat people but I don’t want to see fat bodies.

You are totally hating on fat people and a disclaimer doesn’t change that.  In the South we use “bless her heart” for this purpose and it doesn’t hold water either.

In short, if you’re looking for your beeswax, you won’t find it in someone else’s wardrobe choices.

I’m not saying that you need to put on a bikini to prove that you love your body. You don’t have to be naked to prove your body love. What I am saying is that Spandex are in fact a right and not a privilege, regardless of what you may have heard.  What I am also saying is that if you think I’m obligated to wear Spanx you can think again.

I’m not much of a fatshionista and so my clothing is typically about comfort and what I like.  But at the most recent More Cabaret performance I wore fishnets, a red lace bra, and tiny mini skirt and I rocked that outfit.  Still, plenty of  people would say that at my size I should hang up my fishnets and go mumu shopping. Lucky for me, it’s not their business.

It works figuratively and literally – we are the boss of our own underpants (and the rest of our wardrobe) and nobody else’s.

It doesn’t matter how you do it, or what your intentions are, I would ask you to consider that this type of discussion is nothing more than thinly veiled body hate and that you are better than body snarking. So maybe people should dress in whatever way makes them happy and if you don’t like it there are a lot of other things to look at…what do you say?

But But But Syndrome

I was thinking today about situations in which people’s assumptions about fat people are directly contradicted with evidence, and so they try to discount the evidence.  I’ll call this “But But But syndrome”.  For example:

Kelly Gneiting is a 400 pound trained sumo wrestler who completed a marathon.  The responses included  “At 405 lbs he probably has a very difficult time just walking.”   Obviously not that difficult a time since he just jogged and walked a marathon in a respectable time.  But I don’t think this person even thought it through because they are too busy trying not to challenge their assumptions.  What they are really saying is “but but but I like to think of fat people as lazy and unathletic, and I want to keep it that way by sheer idiocy if necessary”

Talented Yoga teacher Anna Guest-Jelley writes a beautiful letter about yoga and Health at Every Size.  The responses include  “Too many people practicing now are overweight and not fit.justifying obesity is a disorder.”  “But but but, I like to feel superior and think that being thin gives me the right to dictate who is a “real” yogini, therefore I will say that any other way of thinking constitutes a disorder.”

This happens here when I post my health information and people call me a liar.  “But but but, I don’t want to be wrong so I’ll just try to discredit you and say that I’m a better witness to your experience than you are”.

Even doctors do it.  I and other people I know have had doctors try to prescribe blood pressure and cholesterol medicine BEFORE testing our blood pressure or cholesterol.  And upon finding out that they are normal they turn to the VFHT (Vague Future Health Threat).  “But but but I don’t want to look like an idiot so even though my laziness and lack of knowledge lead to me prescribing medicine that would have harmed you physically,  I’m going to try to convince you that even though I’m harmfully wrong today I’ll be right eventually so you are wrong and I am right and you need to believe me”.

It’s not just fit fat people and this isn’t a recent thing.  When Galileo looked at the research and agreed with Copernicus that the Earth revolved around the sun, he was sentenced to “formal imprisonment at the pleasure of the Inquisition” which was commuted to house arrest and lasted for the rest of his life. Publishing of his current or future works was forbidden.  “But but but I don’t want to be wrong so shut that guy up.”

In my experience when you openly practice Health at Every Size, even if you specifically don’t try to impress your views on anyone else, it challenges people’s assumptions and stereotypes in a way that makes them uncomfortable.  So  you have to be aware of “But But But Syndrome” because some of those people are going to do everything that they can to hold onto their assumptions and stereotypes, even if it means attacking you.

For the record, I think that the best cure for “But But But Syndrome” is for these people to Butt Butt Butt Out.

Who Appoints the Body Judges?

I just read the story of Andi Viveros.  Andi won the title of prom queen in her school.  What makes an already special story more special is that Andi is, according to the story, the first ever transgender prom queen. Despite the fact that she clearly identifies as female and obviously goes to great lengths to present as a female, the article referred to her using male pronouns.  The comments were worse and I got progressively more angry until I read a comment that said “You are a man. Deal with it.”.

I lost it.  I started yelling alone in my house.

Who are these people?  How dare they?  Gender is such an intensely personal thing and who do they think they are to say that they know better than Andi what gender she is? As if she needs strangers on the internet feeding their over-exaggerated senses of self-importance by acting as if they are better witnesses to her experience than she is.

Then it dawned on me: These are probably the same people who call me a liar when I talk about my workouts or what I eat.  The same people who assert, despite a preponderance of evidence to the contrary, that all fat people could lose weight if they just tried hard enough, and are, in fact, obligated to do so or deserve the penalty of constant stigmatization and shaming.

Who appointed these people as the body judges?  Was there a ceremony?  Was it nice?

I call shananigans.  Our bodies do not exist for other people to pass judgment on them.  Our bodies are amazing and they exist for whatever we decide to do with them. We are each in charge of how we feel about our body and what we do with it. We can decide to give that power away and choose to accept someone else’s feelings about our body as true and correct, but it’s always our choice to do so.

You don’t have to understand what it means to be transgendered, but it doesn’t hurt you to respect transgendered people and their right to be witnesses to their own experience.  If you think that being transgendered is wrong then you should probably not seek out sexual reassignment but beyond that it’s not really your business and what is there to be gained by telling someone that you know more about their gender than they do, except to sound like an over officious idiot?

Likewise, the fact that you don’t understand how I can be fat and healthy, or fat and happy with my body, or a fat athlete or whatever doesn’t matter.  You don’t have to understand – luckily for you, it’s not your job to make decisions about my body, decide whether or not I’m a competent witness to my experience, or tell me what is best for me.  You get to make those choices for you, and I’m here to support you.  I’m all about giving options and respecting people’s choices.  You are the boss of your underpants and I am the boss of mine and never the underpants-twain shall meet.

So please feel free to make decisions about your body and leave Andi Viveros and me, and everyone else who is not you, alone.

Movie Texter gets Just Desserts

Today’s post is just for fun.  This has nothing to do with self-esteem, body image, or health at every size. It has to do with how I FREAKING HATE when people text in the theater. There is a local group of theaters in Austin called “Alamo Drafthouse”.  In addition to showing new releases and serving food and alcohol they do all kinds of cool kitschy things.  For example, they do a Lord of the Rings butt-numb-a-thon wherein they play all of them in a row and serve all the hobbit meals.  They do Spaghetti Westerns with all you can eat spaghetti. They are just a cool place and what makes them cooler is that they also have a very strict no talking or texting during the movie policy.  They do a whole PSA about it before every movie.  Their most recent one was created using a voicemail from a customer who got thrown out for texting.  It makes me so happy, I’m sharing it with you all.  They are playing this before all of their R rated movies this weekend.  Just another reason that I love Austin. (Just for the record, I am not affiliated with Alamo in any way, except that I like going to the movies there!)

Possibly NSFW  due to language:

If you want to read more about it, here is the post in their blog.

Shed Those Unhealthy Thoughts

I’m going to learn Spanish. My plan is to start by berating myself as often as possible for not already speaking Spanish. I’m going to hang up pictures of people who speak Spanish and every time I look at them I’m going to tell myself how much better they are than I am. As I learn Spanish I’ll constantly focus on the things that are difficult for me and use that inner voice that is now trained to berate me at every possible opportunity to remind me that I’m not good enough at speaking Spanish and probably never will be.

Sound like a good plan? How do you think that’s going to go?

Then why do we do that when we try to get healthier?

If you read this blog regularly then you know that Health at Every Size is my thing. My path to health is to practice healthy habits and not pay attention to the scale. I chose this for a lot of reasons that I outlined here already. But I understand that there are a lot of people who want to try to change the size and shape of their bodies and I respect that choice. This isn’t about whose is right or wrong, it’s actually about our shared experience.

Consider that if you want your body to be smaller, or healthier, or stronger, or more flexible, or whatever, you could start by appreciating where you are now.  I’m guessing that your heart is beating and you are breathing.  That’s a nice place to start. Thank your body for that, appreciate it for a minute. You don’t even have ask, your body just does that for you all day every day.

If you want to be stronger, how about starting by appreciating the strength that you have now.  Can you lift a gallon of milk?  Great!  Did you just move up from 5lb to 10lb dumbells?  Kick ass!  Now what do you want to do?

Maybe stop comparing yourself to other people.  How is this helpful? Your body is your own, nobody else has a body that’s exactly like yours.  That, in and of itself, is incredible.  We’re not cookie-cutter chairs from Ikea, we are completely unique.  One of a kind.  I’m staring to sound a little bit “after school special” right now but seriously, so many things in the world are mass produced and you are a complete original.  That’s something that truly is special and worthy of appreciation.

Notice the messages that can seep into your subconscious.  When you started to read the title of this post did you automatically think I was going to say “Shed those unhealthy pounds”?  That’s not accidental.  The messages that come at us about our bodies are often crafted to create fear and self-loathing.  Then the message creator will try to make us believe that buying their product will cure the fear and self-loathing that they created.  If someone is trying to make you feel bad about yourself, ask yourself if they are trying to sell you something (or just trying to put you down to feel better about themselves) and then you can make your decisions consciously.

I believe that success breeds success so anytime I have any little bit of success I will not hesitate to do a butt shaking happy dance. If I accomplished this thing or that thing, then it makes it that much easier to tackle the next goal on my path.  When I fail, I remind myself that it’s a temporary state and promptly learn the lesson and forget about the rest as soon as possible. That works so much better for me than hating myself and reminding myself about what I haven’t accomplished yet.

Does anybody remember the movie Cool Runnings?  It was based on the first Jamaican Olympic Bobsled Team. In it one of the characters is asked what Cool Runnings means and he says that it means “Peace be the journey”.  Since they are a bobsled team I take that not to mean that things will be smooth, slow and easy, but that you can still be at peace through the difficult parts.  Anytime we want to change or improve it involves a journey, there’s no getting around that.  You can be happy or miserable on the way, that’s your choice.  For me it’s definitely Cool Runnings!

Body Size is Not a Diagnosis

I hate to be a cliche but I’m going to start with a dictionary definition today.  Diagnosis – the act or process of identifying or determining the nature and cause of a disease or injury through evaluation of patient history, examination, and review of laboratory data.

Notice that it doesn’t say: “The act of looking at someone fully clothed, making guesses about their health, and then medicating, shaming and/or stigmatizing them based on your conclusions.”

That’s because that would obviously be a terrible idea.  Except it’s exactly what modern medicine does now.  They take a ratio of weight and height and then start making guesses about people’s health or lack thereof, eating habits, physical fitness,  etc.  Many fat people, including me, have even had doctors prescribe medication that we didn’t need based on just our size.

Maybe that could be justified in 1832, but considering the actual diagnostic tools available to us now, looking at someone’s body and making guesses is just completely unnecessary.  This isn’t just about fat people either.  Obviously if we gave every fat person medication for type 2 diabetes that would be incredibly bad medicine since we know that every fat person doesn’t have Type 2 Diabetes and therefore obesity is not an automatic affirmative diagnosis for the disease  What we often forget in our hurry to assign medical conditions to fat people is the tremendous disservice we are doing to all of the thin people who do have type 2 diabetes but aren’t being tested for it because their doctor thinks that their body size indicates that it’s impossible.

To be clear, health not an obligation, barometer of worthiness, entirely within our control, or guaranteed under any circumstances. The prioritization and path to health that we choose is an intensely personal decision and public health should be about making health options available to the public, not making fat people’s bodies the public’s business.

The thing about body size is that it is never an affirmative or a negative diagnosis of anything.  There may be some things that are more strongly correlated to certain sizes of body but that doesn’t mean that those things are always present in a body that size, or that bodies those size cause those things.  The only thing that you can tell from the size of someone’s body is how big they are and (to paraphrase Marilyn Wann) what your prejudices about a body that size are. Trying to diagnose anything else based on body size is a shamefully lazy way to practice healthcare.

If you are saying that a thin woman must have anorexia and needs to eat a sandwich, or that a fat woman must have diabetes and should put down the sandwich,  you should go ahead and check your assumptions.  There are too many healthy and unhealthy people of every shape and size for these kind of assumptions to hold up and, while we’re talking about it, why are you concerning yourself with this?  How about you be the boss of your underpants and the rest of us will be the boss of ours.

Confusing body size with actual health issues: bad idea when lay people do it, worse idea when reporters do it, worst idea ever when trained medical professionals do it. Don’t do it.

Check out the Fat Activism Conference, it’s going to be epic! Three days, 40 speakers, 30 workshops, teleconference style so that you can listen on the phone or computer from wherever you are, recordings so you can listen live or on your own time, only $39 with a pay-what-you-can-afford option to make it accessible to as many people as possible.  Check it out!

Book Me!  I give talks all across the country about self-esteem, body image, health and wellness for people of size and more, and I’d love to speak to your organization. (I’ll be in Northern New York and Central Pennsylvania in the next couple of months if you are in those areas and would like to add an event to those trips.) You can get more information on topics, previous engagements and reviews here or just e-mail me at ragen at danceswithfat dot org!

Like this blog? Consider supporting my work with a donation or by  becoming a member! For ten bucks a month you can support size diversity activism, help keep the blog ad free, and get deals from size positive businesses as a thank you. I get paid for some of my speaking and writing (and do both on a sliding scale to keep it affordable), but a lot of the work I do (like answering hundreds of request for help and support every day) isn’t paid so member support makes it possible (THANK YOU to my members, I couldn’t do this without you and I really can’t tell you how much I appreciate your support!)   Click here for details

Here’s more cool stuff:

My Book:  Fat:  The Owner’s Manual  The E-Book is Name Your Own Price! Click here for details

Dance Classes:  Buy the Dance Class DVDs or download individual classes – Every Body Dance Now! Click here for details 

If you are uncomfortable with my selling things on this site, you are invited to check out this post.