Big Brother Will See You Now (Blood Sugar Reporting)

[Guest guest]

Big Brother Will See You Now

April 25, 2006

(National Review Online) This column was written by Elizabeth M. Whelan.

The mandated reporting of blood-sugar tests is the first reporting program aimed at countering a non-communicable disease. And this may be only a first step in what is an emerging public-health policy that assigns to government the responsibility for reducing the rate of certain diseases — and obesity, after all, contributes greatly to the toll of disease in America. Thus, we can expect that there will be similar proposals mandating reporting of serum-cholesterol levels, blood-pressure readings, and body-mass-index (BMI) scores, with subsequent "interventions" to get people to change their behavior and reduce the risk of heart attack, stroke, and the spectrum of maladies associated with obesity. And we can expect even more government rules and regulations — designed to protect us from what some in public health deem to be the modern-day "vectors" of disease, just as mosquitoes are the vector for malaria. Along these lines, some states have recently contemplated legislative moves to ban certain food advertising, impose higher taxation on so-called "junk foods" and alcohol, and restrict the sales of soda and other foods and beverages. NYC Health Commissioner Thomas Frieden believes that government should go even further in coercing Americans toward better health: He predicts we will have "regulations to facilitate physical activity, including point-of-service reminders at elevators and safe accessible stairwells [and] modifications of the physical environment to promote physical activity." Some are resigned to this new regulation, arguing that if government is assigned the role of paying for health care, it is entitled to intervene to reduce the risks of disease and thus reduce the costs. But as we set forth into this brave new world of public health, some facts cannot be ignored: The implicit assumption behind these monitoring and follow-up programs is that government can be as successful in reducing chronic disease through legislation as it was in wiping out many infectious diseases through classic public-health measures like vaccination and chlorination of water. However, there is no evidence that these new government efforts will pay off in terms of better health. <snip>

 

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