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Date Posted: 19:48:30 01/18/07 Thu
Author: Vancomycin
Subject: Re: Obese people醫療問題
In reply to: 大飛豬 's message, "Obese people醫療問題" on 19:36:53 01/18/07 Thu

呢方面問題屬於public health...醫生角色主要係health care provider...比較少參與policy making(有D醫生好主動﹐但大部份因為忙所以分身不暇)

正如你話如果genetic level肥胖可以納入呢個範疇﹐咁好多先天/後天病都可以(如色盲/某類遺傳性疾病/癌症)。有D人係genetically predisposed to 肥胖﹐肥胖亦唔係佢地直接造成。因此由肥胖造成問題權責亦好難分﹐唔似食煙/吸毒/酗酒咁99.9%係個人自由意志驅使。

健康資源分配.....我想一如保險﹐係一個probability...你買o左燕疏唔代表你一定有事。咁如果我年年買年年都冇事係唔係唔值得? 肥胖人會有高D機會有其他疾病﹐但好多手術(如癌症)亦好昂貴。好難分肥胖人係唔係用多左。換個角度講﹐部份肥胖人唔注意健康(會既去左keepfit)間接做成過早死亡﹐會減低醫療開支??(同以前一個食煙report一樣)....所以呢個題目好controversial...如果你識得有人讀public health/policy making去問佢會好D。

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