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Smoking is probably the only one of those that's actually stigmatized today. Body positivity has normalized obesity. My PMC female friend is considering having kids with her boyfriend without marriage. 20% of high income people have tattoos.
Has it actually, or do people just pretend that?
I never found false consciousness arguments convincing and I'm not about to start.
Of course, with the advent of ozempic, this question is going to be completely moot in the near future.
You'd think so, but there is that one famous case of a husband who sued his wife for fraud because she had such extensive amounts of plastic surgery that his children came out ugly and he felt betrayed. We toy with natural selection at our own risk.
Best case scenario this ends up like toothbrushes and glasses. Worst case scenario it ends up as diabetes.
Given that the obesity epidemic almost certainly has approximately nothing to do with genetics and obesity is not even selected against (do fatter people have fewer kids? I doubt it), I'm not sure I see the connection to natural selection.
It doesn't have anything to do with genetics yet. The second order effects are the point.
Also it is selected against. There's plenty of studies on this. Obesity even lowers fertility physiologically if I recall correctly. I'm not sure how one would even arrive at the idea that it isn't.
I am not sure what your point is, is what I'm trying to tell you.
My simple mental model is that obesity and fertility are both associated with lower incomes. Obviously this isn't necessarily the full story, but I couldn't immediately find a study that really looked at BMI and lifetime number of kids. Presumably it's not easy since BMI is not constant. Physiological fertility effects are real but may not be decisive, so I'd be curious if you have more reading on this question.
My point is that if you suppress any illness that is selected against through its symptoms, you will get more of it, and that if you aren't providing a cure, you're essentially enlisting future people into the customer base for whatever mitigation you came up with. Insofar as the illness is heritable.
This effect is well understood when it comes to milder things like vision impairments, but it's also one of the somewhat shameful reasons why people abort kids that we can tell will have severe lifelong genetic diseases, or why it's morally questionable to have kids if you know yourself to carry a high risk of such diseases.
Now, obesity is partly heritable, but that's the spectrum you get of potential effects, from easily medicated impediment to significant part of a population has to take meds their whole life to be healthy.
Here's an example longitudinal study of pretty much exactly what we're talking about here.
https://ajcn.nutrition.org/article/S0002-9165(23)23299-2/fulltext
Sounds reasonable. My question is how it applies to the obesity epidemic since that isn't genetic. It may be heritable, but I'd bet all the heritability has to do with food habits that parents model for their kids. Ozempic solves that, so if that's the mechanism then the kids might not even need ozempic.
Thanks, that's good stuff. Interestingly, being underweight is about just as bad for male fertility as being obese.
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