10% of NHS budget is spent on t2 diabetes vast majority is self inflicted, aibu to think they should contribute?

[Lauranda]

Its estimated that the cost will go up 17% by 2020. Something needs to change or the NHS will collapse.

Maybe make people that are overweight pay something towards their treatment would in courage people to eat better and exercise more.

So what about people who get pregnant knowing they have a familial risk of having life-long thyroid complications. They need to pay for their thyroxine. It was a choice after all

Night workers - increased risk of cancers... well it's self inflicted innit. All those nurses sitting at their desks all night, knitting and eat biscuits (causing type II diabetes as well as cancer of course). Make em pay for the chemo!*

I have hypothyroidism, I'm pregnant and I'm a nurse!

Just send me the bill....

Bold fail, there.

I'm sure the op would agree with a points system, even better if you could collect tokens from the DM and exchange them for special extra points

The vast majority of NHS money is spent on elderly people with complex needs, so in fact, people dying young of obesity and smoking related illnesses can cost less over their whole lifespan (comparisons are always made by age groups, so they may cost more at 40 but not so many of them make it to 80).

Something does need to be done though, as much for the misery involved as anything else. Who actually wants to be so fat and unhealthy they have made themselves ill? We need to start looking seriously at weight, not in the judgemental way we currently do, and try to make life better for people.

'Exactly joules, they have been trying the carrot method for decades. Time for a bit more stick, and I work in a caring job. Sometimes you've got to be hard on people.'

And so you appoint yourself judge, jury and executioner.

This is a not very thinly disguised fat hating OP.

There have been quite a few recently.

It's racism, too. As several have pointed out, black, Latin American and Asian people are more likely to develop Type 2 diabetes.

And how does this stick method work, OP?

I'm really interested to hear your actual details and plan of how this will work, mostly a) how health workers can determine the cause of a particular illness, and b) what about some of the other examples given about (driving, doing sports, unprotected sex etc.)

Genuinely interested. You can't start a thread like this and be all airy with the details.

And it's also bollocks!

and I work in a caring job. Fuck.

Agree expat that it's also racist.

There's quite a few folk who hate others on Mumsnet at the mo.

That, too, Betty.

And being overweight is no reliable sign of how healthy you are. I was shocking in my 20s. Drinking, smoking, and lived on pizza, crisps and chocolate bars. Yet I was fortunate to have a pretty good metabolism and didn't put weight on for a long time.

So how about now, if I develop type II because of my history, when my diet is much better?

Yabu

Yabu, are you hungry?, here have a

Also, if 10% of the NHS budget is really being spent on the generic medication, yearly blood test and couple of nurse's appointments a year that type 2 diabetics need, that's either a terrible indictment of how much money the NHS gets or an incontrovertible sign of poor management.

And (I have to get off the internet dammit) when you say lbc, do you mean the talk radio show? If so, isn't it a bit of a career no-no to start ranting to thousands about how the problems your clients suffer from are their own fault and they deserve to be punished..?

Right, don't know about anyone else, but the OP's clear and reasoned responses to the rest of us have convinced me and I'm off to pawn my wedding ring so I can send the NHS a cheque.

(Now stepping away from the keyboard!)

The op has started quite a few threads recently.

Can I just ask how the carrot method has been used to encourage people to lose weight? Am not ready to have a go, just a genuine question. I just haven't seen many "lose 10lb and get £10" signs anywhere...

Trolling online all day is far more righteous than watching tv eh dreamer.

Maybe not exactly the carrot method, more accurately the softly softly apparoch.

I know first hand doctors are ready to give out pills rather than try to encourage a lifestyle change. Many have reversed or reduced the affects of t2 with exercise or diet. However doctors are all too egar to give out pills than to sujest changing lifestyle.

I know first hand doctors are ready to give out pills rather than try to e
encourage a lifestyle change.

This is one of the favourite sayings of quacks. And it's also bollocks. My GP and consultants always recommend and promote diet / exercise / stopping smoking.

"doctors are ready to give out pills rather than try to encourage a lifestyle change. "

Only because they have learnt that people don't do as they're told, and there's no point in ruining a doctor-pt relationship by trying to push any msg too hard. Look at how offended women on here get when they are told that their weight or their child's weight might be a problem. Worse, most health promotion initiatives have temporary affects at best. It's a huge headache for ppl working in public health.

Completely ridiculous as everybody else has said.

I have health conditions caused by years of anorexia and being underweight. I cost the NHS a fortune as a teenager with two stays in hospital units. Should I pay (actually, the answer to that is probably yes )