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Opinion – why giving weight loss jabs to unemployed Brits is problematic

The government’s proposal endorses the stereotype that larger people without jobs are ‘just lazy’ and implies that a body that ‘works’ is measured by how much labour can be extracted from it.

These days, it’s almost too easy to compare ourselves as we binge episode after episode of fatphobic media like The Biggest Loser, or My 600-lb life, or Supersize vs Superskinny, watching as people told they’re unhealthily large struggle through weight loss journeys that will ‘save their life.’

At least their insecurities are bigger than ours (literally).

Maybe we even feel a little reassured that we don’t find ourselves in the same position: with our bodies trivialised for entertainment and deemed surplus because big = bad but slim = safe.

We’re supposed to feel proud of them, assured that the people on our screens – whose lives are soundtracked to sad music and presented against a cold, low-tone colour palette – aren’t being shamed and that their weight loss journeys are part of a lengthier one to self-rediscovery, to reconnecting with who they were ‘before.’

Most importantly, we’re supposed to take note that their ‘supersize’ body could be ours too. If we aren’t careful, of course.

These shows tell us that the people who go on them, those forced to endure restrictive, metabolism-damaging diets and over-vigorous workouts, aren’t losing weight to fit socially acceptable standards, but are doing so to ‘get their lives back.’

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We’re instructed that, if people just make a bit more effort, spend more time working out, and eat less, they can have the body of their dreams.

The underlying message is that, ultimately, our weight is down to us, that how much we’re willing to invest into maintaining a healthy number on the scale is something we can use to empower ourselves and avoid sinking into a miserable cycle of eating and expansion.

But what if it’s not about personally reaping the rewards of this as these programmes advocate for?

And what if we stopped treating obesity like a solely individualistic issue, one that’s both a ‘physical characteristic’ and a form of ‘behavioural deviance’ that rejects conventional attractiveness?

What if, instead, we viewed the obesity crisis as class-related and directly linked to capitalism?

As academic Jonathon C Wells writes, historically ‘capitalism [has] contributed to the under-nutrition of many populations through demand for cheap labour.’

Put simply, as a capitalist looking to make as much surplus profit as possible, you’re not going to spend more money on producing high quality food beyond what your workers need to carry out the labour you require.

Especially when you can cut costs by selling high-calorie, low-cost food to people who don’t earn enough to buy anything other than what’s convenient and sustaining, or who don’t have hours to spend cooking.

And due to ‘the abundance of new and cheap goods that means there are many different and affordable products for people to buy,’ quality has declined but consumption has increased. Which brings us to today.

From the perspective of economic profitability, why worry about the long-term health effects for working-class people who are more likely to be overexposed to adverts for HFSS food if it doesn’t affect you?

Why should it matter that underfunded schools are failing to provide free, nutritious school meals if you’re sending your kids to school with a healthy packed lunch?

Ever since obesity was declared a global epidemic by the World Health Organisation in 1997, we’ve been seeing the devastating impacts of state neglect and classism both on public bodies and on the public’s bodies, with the problem costing the NHS £6bn annually.

Once again, individuals are being shamed and blamed for being larger than what society considers the norm, despite the blatant socioeconomic factors which make it more likely that poorer people will be overweight.

And the government isn’t helping. In fact, its making things worse with policies that claim to be tackling obesity – like adding calories to menus or confiscating student’s packed lunches if their contents are ‘unhealthy’ – but that are exacerbating eating disorders and anxiety around food.

Most recently, Health Secretary Wes Streeting, picking up where the conservatives left off, has proposed giving weight loss jabs to unemployed people who are diagnosed as being obese, with the aim of ‘getting them back to work to turbocharge the UK economy.’

As Doctor Joshua Wolrich asserts, ‘by planning a trial with an end point of employment, what the government is doing is validating the stereotype that fat people are unemployed and lazy.’

In other words, it’s not enough that poorer people are disproportionately suffering as a result of the state’s failure to provide proper education and resources so that they can follow a balanced diet and lifestyle, nor that it’s mostly people in deprived areas with reduced access to high-quality medical assistance and leisure activities who are bearing the brunt of this.

What’s clear is that unless it’s having a negative impact on the UK economy, it’s not worth taking seriously at all.

This, and that fitness isn’t necessary to enhance wellbeing, it should increase one’s ability to sell their labour productively to benefit capitalism which is primarily responsible for the crisis in the first place.

To date, the Mounjaro weight loss jab, a weekly self-injectable pen, has only been available to those living with type 2 diabetes at the fixed price for UK prescriptions. You can buy the treatment online, but minimum fees begin at £159.

Proposing to offer lower-income, unemployed sufferers of obesity what’s been dubbed the ‘King Kong’ of weight loss jabs thanks to its effectiveness is proof that a) there is enough money in the UK health budget to provide everyone with medication that could drastically improve their quality of life and b) that the NHS remains deliberately underfunded.

This essentially treats people’s ability to live as quid-pro-quo with their ability to contribute to an economy which has crippled them.

In a capitalist society where a ‘working body’ is one that can be extorted for labour, rather than one that functions healthily, will we ever see people prioritised over profits?

Or will we continue to see the rich investing in themselves through organic wholefoods and personal trainers while working-class people remain dependent on charitable donations and food banks, or the false empathy of economists, thanks to the government’s resolution-over-prevention approach?

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