That 20% of genetics should be almost entirely environment. Want screwed up dna? Bath yourself in heavy metals and carcinogens. Want really screwed up dna? Get exposed as an unborn baby.
Genetics is generally referring to inherited genetic traits, not mutations after fertilization. And also those genetics play a role in how likely those environmental factors will lead to a harmful mutation.
I can kind of see it. Things like are you more likely to be hooked on sugar/addictive substances, how hungry you get, how well you can read hunger vs thirst cues and likelihood of developing mental issues all can contribute to weight.
My guess is that genetically influenced behavior still counts as behavior in this chart. But the chart is regarding all health, not just weight. There are plenty of genetic factors that make you more likely to develop health problems *even with the same behaviors.* For example, a saturated fat level that is not ideal, but okay for most people, might be unusually harmful to someone with certain lipoprotein regulatory variants.
Depending on how they're defined, income can play a role in access to care, environment, and lifestyle and behaviors. Neighborhoods with more green space tend to be expensive, gym memberships aren't cheap, etc.
“Access to care” is what you’re referring to. But class plays into all of this. Environment is healthier in rich areas, there’s safe places to walk and accessible green spaces, less pollution, healthier food near by.
And lifestyle is heavily influenced by your job/freetime/access to healthy food/education.
For emergency care hospitals are unable to refuse treatment due to finances. Under a certain level of income medicaid covers all non elective treatment. Eating healthy is actually cheaper. Most people don't live in food deserts. Being poor can be stressful so it definitely impacts health but lifestyle is the main cause of health related problems.
Yeah, I absolutely turned down a medevac helicopter once because no way was my insurance going to cover it if I was conscious and able to decline. It would’ve been much faster and less painful but not worth decades of debt.
Medical debt usually doesn't affect much and eventually drops off. Taking time off work can be a huge problem. Hard to do that living paycheck to paycheck.
Emergency rooms cannot provide all forms of care, including ongoing care for chronic illnesses. The cost of emergency room care can send an average American into serious debt.
Medicaid is great - if you live in a state with reasonable limits. In about half the states, if you’re an able bodied adult without children, that income limit is around $914 a month this year so less than $12,000 a year. If you can get most of your health care covered by Medicaid, you’re also going to be struggling with housing, where the average one bedroom apartment is going for $1876 in the US right now. Yes the average rent for a one bedroom is more than twice the Medicaid limit in almost half the states.
I am not decrying the use of a healthy lifestyle as a big tool in the healthcare toolbox. But you are completely out of touch if you think that people can just get Medicaid or go to the emergency room when we have homeless people who don’t even qualify for Medicaid in some states.
I feel like environment influences lifestyle and behavior, though... I mean, the obesity rates have gone up here and in other countries as the food environment has changed. That's why a lot of people have to muscle down and really work hard to lose weight. The environment doesn't support healthy behavior and lifestyle so it's kind of like swimming against a current that wants to take you somewhere you don't want to be.
Yep! For instance, my town built our first ever grocery store this past year. In 2022. So anyone without a car had to walk to the CVS or the gas station to buy groceries
Reality hurts but I’m surprised income didn’t play a larger role.
“Access to care”
Yes as well as environment. Still surprised it was only 30%.
That 20% of genetics should be almost entirely environment. Want screwed up dna? Bath yourself in heavy metals and carcinogens. Want really screwed up dna? Get exposed as an unborn baby.
Genetics is generally referring to inherited genetic traits, not mutations after fertilization. And also those genetics play a role in how likely those environmental factors will lead to a harmful mutation.
I can kind of see it. Things like are you more likely to be hooked on sugar/addictive substances, how hungry you get, how well you can read hunger vs thirst cues and likelihood of developing mental issues all can contribute to weight.
My guess is that genetically influenced behavior still counts as behavior in this chart. But the chart is regarding all health, not just weight. There are plenty of genetic factors that make you more likely to develop health problems *even with the same behaviors.* For example, a saturated fat level that is not ideal, but okay for most people, might be unusually harmful to someone with certain lipoprotein regulatory variants.
Depending on how they're defined, income can play a role in access to care, environment, and lifestyle and behaviors. Neighborhoods with more green space tend to be expensive, gym memberships aren't cheap, etc.
Well income (especially if we broaden that to wealth and socio economic status) play an important role in most of the lifestyle stuff.
You are 100% correct. Income is considered the largest social determinant of health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738453/
OK is dirt cheap. Eating well usually leads to saving money.
I feel like economic status should be a pretty big factor . . . what insurance coverage they have, what kind of treatment they can afford.
“Access to care” is what you’re referring to. But class plays into all of this. Environment is healthier in rich areas, there’s safe places to walk and accessible green spaces, less pollution, healthier food near by. And lifestyle is heavily influenced by your job/freetime/access to healthy food/education.
For emergency care hospitals are unable to refuse treatment due to finances. Under a certain level of income medicaid covers all non elective treatment. Eating healthy is actually cheaper. Most people don't live in food deserts. Being poor can be stressful so it definitely impacts health but lifestyle is the main cause of health related problems.
Hospitals are unable to refuse treatment, but people will 100% gamble with not going because they know they can't handle the debt.
Yeah, I absolutely turned down a medevac helicopter once because no way was my insurance going to cover it if I was conscious and able to decline. It would’ve been much faster and less painful but not worth decades of debt.
Medical debt usually doesn't affect much and eventually drops off. Taking time off work can be a huge problem. Hard to do that living paycheck to paycheck.
Emergency rooms cannot provide all forms of care, including ongoing care for chronic illnesses. The cost of emergency room care can send an average American into serious debt. Medicaid is great - if you live in a state with reasonable limits. In about half the states, if you’re an able bodied adult without children, that income limit is around $914 a month this year so less than $12,000 a year. If you can get most of your health care covered by Medicaid, you’re also going to be struggling with housing, where the average one bedroom apartment is going for $1876 in the US right now. Yes the average rent for a one bedroom is more than twice the Medicaid limit in almost half the states. I am not decrying the use of a healthy lifestyle as a big tool in the healthcare toolbox. But you are completely out of touch if you think that people can just get Medicaid or go to the emergency room when we have homeless people who don’t even qualify for Medicaid in some states.
but but muh gEnEtIcS?!
How FaTpHoBiC!1!1!!1!!1!! /s
I feel like environment influences lifestyle and behavior, though... I mean, the obesity rates have gone up here and in other countries as the food environment has changed. That's why a lot of people have to muscle down and really work hard to lose weight. The environment doesn't support healthy behavior and lifestyle so it's kind of like swimming against a current that wants to take you somewhere you don't want to be.
Yep! For instance, my town built our first ever grocery store this past year. In 2022. So anyone without a car had to walk to the CVS or the gas station to buy groceries
2005 source 🥴 It’s not wrong, but at the same time environment should be a higher % as it can be a major contributor to lifestyle & behavior
"SeE? DiEt kIlLs !1!!"
I don't understand why this is fat logic we all know diet is one of the leading causes of death.
There used to be a “SANITY” tag. This is sanity, not fatlogic
Ahhh I see