It is just laziness and they have a blanket scapegoat to use to get out of doing their job if you walk in and are overweight.

(Please take the following as pondering general discussions of obesity between doctors/patients and not specifically directed at you.)

This was a really thought-provoking summary for me, your belief that doctors are telling people to lose weight out of “laziness.” If a suggestion like this is lazy, are patients who don’t listen to their doctor somehow not lazy?

The idea that doctors make weight a scapegoat seems prevalent in American healthcare (probably because we’re generally obese, myself included). It feels a lot like projection of one’s laziness onto a doctor, even though that doctor has probably seen hundreds of cases with the same predictable outcomes and knows that appropriate weight management would head off more serious treatment.

Frankly, I think doctors are anything but lazy when they are “forced” to order and perform risky and invasive treatments on a patient who refused to meet them halfway before the treatment became necessary in the first place. I get it, nobody likes being told what to do, especially when it seems (and literally is) so personal. But doctors also don’t like to be told what to do (“fix me!”) when a patient deigns even the gentlest suggestion to take some control of their issues at hand.

I am 15lbs into the obese BMI category myself, but 30lbs below my highest weight. The severity of my issues (joint pain, lethargy, depression, etc.) has palpably lessened losing that 30lbs very inconsistently over the last four years. If anything, I think doctors need to better read the psychological resistance many people have with weight loss and then illustrate to, rather than tell, patients how to attain weight loss in ways that don’t seem restrictive.

That 30lbs of mine, could I have done that in 30 weeks or fewer? Sure, but I didn’t want to feel perpetually hungry. In fact, I never even set a goal weight. Instead of thinking “Idgaf about my weight” or “I must lose 20lbs by Christmas!!” I just made the tiniest changes, the biggest one being taking advantage of times I wasn’t hungry by (gasp) not eating.

… Shit, I guess lazy weight loss works, too!