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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

See all MNHQ comments on this thread

Should smokers and fat people be denied treatment on the NHS unless they make radical changes to their lifestyle?

167 replies

Mrbojangles1 · 07/03/2012 16:23

My objection is not that people smoke or are fat people should do whatever makes them happy as long as they are legal and not inflicting their bad habits on children.

My thing is if these people are not refused treatment and they continue to smoke or over eat their medical condition is very likey to come back or counting thus treating a condition with out change is a waste of money.

Also my oh who works for nhs tells me giving somone who is fat anersetic (sp) is very dangerous the amount to knock them out can often be lethal

Also I think we should be helping people take ownership of their own health

Personally I wouldnt want some one who wouldn't commit to stop somking to have a new heart.

What do you all think
Ps this is not about the wrongs or rights of somking or being aft but about should we expect people to commit to change in order to take up the precious time of surgeons, nurses, doctors and Nhs staff?

OP posts:
Trills · 07/03/2012 16:26

No.

And YABU because you have not asked an AIBU question.

Mrbojangles1 · 07/03/2012 16:28

That's for that in depth answer trills Grin

OP posts:
catgirl1976 · 07/03/2012 16:28

Well...........smokers do pay a lot of tax.

When I smoked I paid a fortune,. plus the wine.........I am always surprised that given the amount of tax I have paid they don't usher me straight through to the catgirl wing whenever I am ill.

workshy · 07/03/2012 16:28

there are many complicated reasons why people fail to either stop smoking or to lose weight

smoking is a physical addiction and increddibly hard to give up

weight is very often linked to emotional eating -people can't just decide one day to lose weight and do it sucessfully and keep it off long term

how long do you make someone who is a smoker stay off the dirty weed before they can have a heart? because if you are talking months then if they have made it to the transplant waiting list then they probably don't have months left

YABU

but......
if the NHS invested more in helping overweight people etc resolve their issues behind the physical then they would probably save money in the long run

southeastastra · 07/03/2012 16:29

you sound like a lovely caring member of the human race

LemonDifficult · 07/03/2012 16:29

I don't really think it's OK to refuse standard treatment to anyone, regardless of lifestyle.

However, I agree that I would be less happy about donating my liver to a healthy doing-everything-they-can-to-live person than I would be donating it to an alcoholic, however long they'd been on the waiting list.

Fiendishlie · 07/03/2012 16:29

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thinneratforty · 07/03/2012 16:29

Would you stop all medical treatment for fat/smokers or just the illnesses that could be proved were preventable by losing weight/giving up smoking?
Only I'm thinking, you could have a chest infection, that could be because of smoking, but may not be and how would you police this?
And what about people who engage in certain sporting activities and therefore are at more risk of injury? Or anything else for that matter - travel and get malaria - is that their own fault? I don't think it's workable.

PurpleRomanesco · 07/03/2012 16:29

Kill 'em all.

Trills · 07/03/2012 16:29

There is a big difference between:

1 - sometimes people must change their lifestyle in order for treatment to be safe and effective (your OH's comment on obesity and anaesthesia - sometimes people need to lose weight before surgery because otherwise the surgery would be unsafe)

2 - we should deny people treatment (even if it would be safe/effective) if we disapprove of their lifestyle choices (not giving a heart to a smoker)

Methe · 07/03/2012 16:31

No but I do think people who eat themselves bedbound for no other reason than greed shouldn't get their needs ( bed/chairs/carers) met by the tax payer as it is just facilitating.

Psammead · 07/03/2012 16:33

Lucky for you that you don't have any fatty or smoker close family. What if your mum was fat and needed an operation because of something that was 100% to do with her being fat? She would just die. Health affects more people than just the person directly affected, if that makes sense.

FlossieTeacakeShouldFakeIt · 07/03/2012 16:33

I think it woudo be fair enough to deny organ transplants to people who are deliberately harming their health, because the waiting list is so long and people die while they are on it.

But it would be wrong to deny them other treatments, especially as smokers pay so much tax.

workshy · 07/03/2012 16:34

Methe

do you honestly believe that people eat to the point of being bedbound because they are lazy???

Shock
Mrbojangles1 · 07/03/2012 16:35

No I think it's only right that if the illness is preventable by loosing weight then they should do so.

Also if their is more risk of the person passing away due to the anaesthetic then their would be if they didn't have the op at all due to their weight

I think in the uk the donation of organs is very low as it is I really think people who are willing to give up drink or somking should really be given more piorty than those who won't make a change

Because then it becomes how many transplants can they have with out making a change ?

Fiendishlie uncalled for Biscuit

OP posts:
Methe · 07/03/2012 16:35

No, because they are greedy.

LadyBeagleEyes · 07/03/2012 16:37

WTF are those people that are posting so many judgemental and inhuman views at the moment?
There are so many posts like this that I CBA replying anymore.
Is there a nice thread going on about kittens anywhere?

Mrbojangles1 · 07/03/2012 16:38

Trills I did say I didn't want to get into weather people should be fat in the first place

But weather people who are not prepared to maked changes should get treatment above people who will when resources are tight

OP posts:
Fiendishlie · 07/03/2012 16:39

This reply has been deleted

Message deleted by Mumsnet for breaking our Talk Guidelines. Replies may also be deleted.

fanjoforthemammaries7850 · 07/03/2012 16:39

Weather people should be fat, too many skinny people doing the weather these days

Mrbojangles1 · 07/03/2012 16:39

Methe Biscuit this is not a hate fat people thread

OP posts:
workshy · 07/03/2012 16:39

ok then

Methe

do you honestly believe that people eat to the point of being bedbound because they are greedy???

Shock
Fiendishlie · 07/03/2012 16:41

Yes, it is, Mrbojangles1, clearly it is.
You are perfect I take it?

LentillyFart · 07/03/2012 16:41

I agree with fiendishlie. And how does this loosing weight thing work? Do you, you know, work it loose? Does it somehow become loose? Was it not very tight to begin with?

And have a Biscuit for - err - everything.

PurpleRomanesco · 07/03/2012 16:42

Here you go Lady