Would punishing fat people even work? Science says no

Government drive to cut benefits for the obese is a terrible idea.

The government seems to have decided that one of the things missing before 2013 was adequate punishment for fat people. Here's their new resolution: if Britain's obese refuse to attend exercise sessions, they will face having their benefits cut.

Westminster Council today published a report recommending that:

"Where an exercise package is prescribed to a resident, housing and council tax benefit payments could be varied to reward or incentivise residents."

This is a familar theme. After all, obesity costs the NHS £5.1bn a year, so somehow getting that money back from the obese has a whiff of logic about it.

That whiff is sadly misplaced. Study after study has shown that punishment is not an effective strategy for helping people lose weight. Amongst them is a particularly interesting report which suggests that the health problems associated with obesity arises not from fatness alone, but also from the psychological stress caused by the social stigma that comes with being fat, which a focused social campaign like the one proposed could only exacerbate. Part of the problem is that a great deal of those who have problems with their weight are not cheerfully waiting for sufficient motivation to become thinner. They are unhappy with their size already, which can make the problem worse - compulsive eating is a common reaction to stress. Here's Caitlin Moran's excellent description of the difference between "cheerful greed" and "compulsion":

People overeat for exactly the same reason they drink, smoke, have serial one-night stands or take drugs. I must be clear that I am not talking about the kind of overeating that's just plain, cheerful greed—the kind of Rabelaisian, Falstaffian figures who treat the world as a series of sensory delights and take full joy in their wine, bread and meat. Those who walk away from a table—replete—shouting, "That was splendid!" before sitting in front of a fire, drinking port and eating truffles, don't have neuroses about food. They aren't "fat," they are simply…lavish.

No—I'm talking about those for whom the whole idea of food isn't one of pleasure, but one of compulsion. For whom thoughts of food, and the effects of food, are the constant, dreary background static to normal thought. Those who walk into the kitchen in a state bordering on panic and breathlessly eat slice after slice of bread and butter—not even tasting it—until the panic can be drowned in an almost meditative routine of chewing and swallowing, spooning and swallowing.

In this trancelike state, you can find a welcome, temporary relief from thinking for 10, 20 minutes at a time, until finally a new set of sensations—physical discomfort and immense regret—make you stop, in the same way you finally pass out on whiskey or dope. Overeating, or comfort eating, is the cheap, meek option for self-satisfaction, and self-obliteration.

Fat. But what is an adequate punishment? Photograph: Getty Images

Martha Gill writes the weekly Irrational Animals column. You can follow her on Twitter here: @Martha_Gill.

Photo: Getty
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The Future of the Left: trade unions are more important than ever

Trade unions are under threat - and without them, the left has no future. 

Not accepting what you're given, when what you're given isn't enough, is the heart of trade unionism.

Workers having the means to change their lot - by standing together and organising is bread and butter for the labour movement - and the most important part? That 'lightbulb moment' when a group of workers realise they don't have to accept the injustice of their situation and that they have the means to change it.

That's what happened when a group of low-paid hospital workers organised a demonstration outside their hospital last week. As more of their colleagues clocked out and joined them on their picket, thart lightbulb went on.

When they stood together, proudly waving their union flags, singing a rhythmic chant and raising their homemade placards demanding a living wage they knew they had organised the collective strength needed to win.

The GMB union members, predominantly BAME women, work for Aramark, an American multinational outsourcing provider. They are hostesses and domestics in the South London and Maudsley NHS Trust, a mental health trust with sites across south London.

Like the nurses and doctors, they work around vulnerable patients and are subject to verbal and in some cases physical abuse. Unlike the nurses and doctors their pay is determined by the private contractor that employs them - for many of these staff that means statutory sick pay, statutory annual leave entitlement and as little as £7.38 per hour.

This is little more than George Osborne's new 'Living Wage' of £7.20 per hour as of April.

But these workers aren't fighting for a living wage set by government or even the Living Wage Foundation - they are fighting for a genuine living wage. The GMB union and Class think tank have calculated that a genuine living wage of £10ph an hour as part of a full time contract removes the need for in work benefits.

As the TUC launches its 'Heart Unions' week of action against the trade union bill today, the Aramark workers will be receiving ballot papers to vote on whether or not they want to strike to win their demands.

These workers are showing exactly why we need to 'Heart Unions' more than ever, because it is the labour movement and workers like these that need to start setting the terms of the real living wage debate. It is campaigns like this, low-paid, in some cases precariously employed and often women workers using their collective strength to make demands on their employer with a strategy for winning those demands that will begin to deliver a genuine living wage.

It is also workers like these that the Trade Union Bill seeks to silence. In many ways it may succeed, but in many other ways workers can still win.

Osborne wants workers to accept what they're given - a living wage on his terms. He wants to stop the women working for Aramark from setting an example to other workers about what can be achieved.

There is no doubting that achieving higher ballot turn outs, restrictions on picket lines and most worryingly the use of agency workers to cover strikers work will make campaigns like these harder. But I refuse to accept they are insurmountable, or that good, solid organisation of working people doesn't have the ability to prevail over even the most authoritarian of legislation.

As the TUC launch their Heart Unions week of action against the bill these women are showing us how the labour movement can reclaim the demands for a genuine living wage. They also send a message to all working people, the message that the Tories fear the most, that collective action can still win and that attempts to silence workers can still be defeated.