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.

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Air pollution: 5 steps to vanquishing an invisible killer

A new report looks at the economics of air pollution. 

110, 150, 520... These chilling statistics are the number of deaths attributable to particulate air pollution for the cities of Southampton, Nottingham and Birmingham in 2010 respectively. Or how about 40,000 - that is the total number of UK deaths per year that are attributable the combined effects of particulate matter (PM2.5) and Nitrogen Oxides (NOx).

This situation sucks, to say the very least. But while there are no dramatic images to stir up action, these deaths are preventable and we know their cause. Road traffic is the worst culprit. Traffic is responsible for 80 per cent of NOx on high pollution roads, with diesel engines contributing the bulk of the problem.

Now a new report by ResPublica has compiled a list of ways that city councils around the UK can help. The report argues that: “The onus is on cities to create plans that can meet the health and economic challenge within a short time-frame, and identify what they need from national government to do so.”

This is a diplomatic way of saying that current government action on the subject does not go far enough – and that cities must help prod them into gear. That includes poking holes in the government’s proposed plans for new “Clean Air Zones”.

Here are just five of the ways the report suggests letting the light in and the pollution out:

1. Clean up the draft Clean Air Zones framework

Last October, the government set out its draft plans for new Clean Air Zones in the UK’s five most polluted cities, Birmingham, Derby, Leeds, Nottingham and Southampton (excluding London - where other plans are afoot). These zones will charge “polluting” vehicles to enter and can be implemented with varying levels of intensity, with three options that include cars and one that does not.

But the report argues that there is still too much potential for polluters to play dirty with the rules. Car-charging zones must be mandatory for all cities that breach the current EU standards, the report argues (not just the suggested five). Otherwise national operators who own fleets of vehicles could simply relocate outdated buses or taxis to places where they don’t have to pay.  

Different vehicles should fall under the same rules, the report added. Otherwise, taking your car rather than the bus could suddenly seem like the cost-saving option.

2. Vouchers to vouch-safe the project’s success

The government is exploring a scrappage scheme for diesel cars, to help get the worst and oldest polluting vehicles off the road. But as the report points out, blanket scrappage could simply put a whole load of new fossil-fuel cars on the road.

Instead, ResPublica suggests using the revenue from the Clean Air Zone charges, plus hiked vehicle registration fees, to create “Pollution Reduction Vouchers”.

Low-income households with older cars, that would be liable to charging, could then use the vouchers to help secure alternative transport, buy a new and compliant car, or retrofit their existing vehicle with new technology.

3. Extend Vehicle Excise Duty

Vehicle Excise Duty is currently only tiered by how much CO2 pollution a car creates for the first year. After that it becomes a flat rate for all cars under £40,000. The report suggests changing this so that the most polluting vehicles for CO2, NOx and PM2.5 continue to pay higher rates throughout their life span.

For ClientEarth CEO James Thornton, changes to vehicle excise duty are key to moving people onto cleaner modes of transport: “We need a network of clean air zones to keep the most polluting diesel vehicles from the most polluted parts of our towns and cities and incentives such as a targeted scrappage scheme and changes to vehicle excise duty to move people onto cleaner modes of transport.”

4. Repurposed car parks

You would think city bosses would want less cars in the centre of town. But while less cars is good news for oxygen-breathers, it is bad news for city budgets reliant on parking charges. But using car parks to tap into new revenue from property development and joint ventures could help cities reverse this thinking.

5. Prioritise public awareness

Charge zones can be understandably unpopular. In 2008, a referendum in Manchester defeated the idea of congestion charging. So a big effort is needed to raise public awareness of the health crisis our roads have caused. Metro mayors should outline pollution plans in their manifestos, the report suggests. And cities can take advantage of their existing assets. For example in London there are plans to use electronics in the Underground to update travellers on the air pollution levels.

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Change is already in the air. Southampton has used money from the Local Sustainable Travel Fund to run a successful messaging campaign. And in 2011 Nottingham City Council became the first city to implement a Workplace Parking levy – a scheme which has raised £35.3m to help extend its tram system, upgrade the station and purchase electric buses.

But many more “air necessities” are needed before we can forget about pollution’s worry and its strife.  

 

India Bourke is an environment writer and editorial assistant at the New Statesman.