New federal regulations issued this week stipulate that the electronic health records–that all Americans are supposed to have by 2014 under the terms of the stimulus law that President Barack Obama signed last year–must record not only the traditional measures of height and weight, but also the Body Mass Index: a measure of obesity.
Obviously this is both an affront to freedom in general and the liberty of those with ‘unacceptable’ BMIs (mostly fat people, though some very thin people) more specifically. This isn’t about releasing any more information than would have been released before — heights and weights were already set to be included in the electronic health records — but rather being specifically classified by some health index number that can be used as a justification to grant you different treatment than others.
A couple things are clear to me here:
- When others believe they have the power to make health decisions for you (for instance, they control your access to healthcare) then you lose your body autonomy. Full stop.
- A government is going to act like any other self-interested body with a lot of power—it will exert its political will on the populace in order to remain in power. Right now it is popular to blame certain groups of people (including fat people) for willfully using more scarce health resources than ‘normal’ people. So classifying people into groups that would allow such a body to ‘punish’ those groups in the name of the ‘normal’ people is politically expedient (in that it will likely do no political harm and might even scrape together a few extra votes).
What do you think of this? Do you think it will happen? Besides refusing to be weighed, how can you personally combat the threat of potential classification based on BMI? What do you think the implications including BMIs on everyone’s electronic health records will be?