Quotulatiousness

April 2, 2023

Ozempic versus the make-believe world of “Healthy at Every Size”

Filed under: Health, Media, USA — Tags: , , , , , — Nicholas @ 03:00

Poor Americans are being propagandized that being fat — even to the point of being unable to carry on ordinary tasks — is “perfectly healthy” at the same time that the glitterati, the wealthy, and the mediagenic are getting thinner thanks to diet, exercise, and (it’s an open secret) drugs and cosmetic surgery. Along comes an antidiabetic drug that was found to have an interesting off-schedule property:

If you, a commoner, encountered a feudal lord in the year 1200, the latter would likely be wearing fine armour, carrying a well-polished sword, and riding a horse. Upon seeing these visual cues, you would address him properly, lest he punish you for failing to show proper deference. But as the centuries passed, particularly in the years following the American and French revolutions, this notion of privilege faded; the rich might be a class apart, but at times they might be dressed much like you, even if their apparel was slightly better-made.

Today, however, the rich are separating themselves in perhaps the most obvious way of all: by perfecting their bodies, rather than what they put on them. The rich are fit and the poor are fat: reams of research confirms that the prevalence of obesity decreases as income increases. In the United States, where 41% of the entire population is obese — compared with 25% in the United Kingdom — it is a rare wealthy person who is morbidly overweight (blimp-sized Illinois governor J.B. Pritzker and portly former New Jersey governor Chris Christie are outliers). Increasingly, the rich in late middle age have come to resemble Jeff Bezos and Sarah Jessica Parker: ripped to shreds and almost certainly “enhanced” with various anti-ageing drugs and techniques, ranging from steroids and growth hormones to Botox injections and liposuction.

Into this mix comes semaglutide, an antidiabetic medication better known by its trade name Ozempic. Sold by pharmaceutical manufacturer Novo Nordisk, the drug, which reduces food intake by curbing appetite and slowing digestion, was approved by the US Food and Drug Administration to treat obesity in 2021. Since then, celebrities and fitness influencers have routinely shared before-and-after pics captioned with details of their courageous weight-loss journeys, which entailed jabbing themselves with a 1.5ml pen that contains a month’s worth of doses and costs roughly $900 without insurance.

Predictably, stories about Ozempic have proliferated in the tabloids and on social media. Some see the drug as a challenge to the celebrity movement that touts “fat acceptance”, and brought us the “slim-thick” era of curvy female superstars. They argue that Ozempic may work hand-in-hand with the return of the “heroin chic” look of the late Nineties. As interesting as it is to consider where these mixed messages might lead us — to a culture in which poor people are told it’s fabulous to be obese, while the rich get ever thinner and fitter — if this is a conspiracy, it’s not a new one. The rich have lusted after youth, beauty and fitness, in others and themselves, since time immemorial, always keeping the poor as downtrodden as possible while pacifying them with bromides about equality, liberty and fraternity. Ozempic, then, is not simply the key to thinness; those who pay for it are buying even more distance between themselves and the hoi polloi.

In short, this appears to be yet another sign that the elite are headed toward some sort of crude transhumanist utopia, complete with gene therapy and designer-baby selection. Some may scoff that this is science fiction, but this future looms: once they’re sufficiently fine-tuned, gene editing tools will likely eradicate heart disease, muscle wasting, neurodegenerative disorders, and other conditions in embryos that are still in utero — but their price will be nothing short of staggering. Similarly expensive gene therapies will enhance the overall performance of already-healthy humans, raising ethical questions about whether these procedures should “improve” a person or merely “fix” a condition. The rich, of course, will leave those debates to the philosophers and pay upfront for the best bodies that their considerable resources can buy. Already, news stories abound of billionaires pursuing immortality, with a few commentators trying to sanitise the pursuit by arguing that the research will somehow benefit even the least of us.

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