Pages

Tuesday, September 8, 2026

Pipe dream of a legacy

 


The world is partly dependent on unhistoric acts

 

THOUGHT OF THE DAY:

"For the growing good of the world is partly dependent on unhistoric acts" - George Eliot, from Middlemarch, 1872. 

 


An overweight girl just did not become a leader

 

It looks like we may soon have a generation of no fat girls and boys with rotten teeth.

Yes—there’s a rather grim irony there. We may be heading toward a population in which obesity is increasingly treated as the great nutritional catastrophe while dental decay becomes an underappreciated consequence of what replaced the calories.

If by “no fat” you mean the increasing use of GLP-1 drugs and other aggressive weight-control measures, there are two potentially separate problems. One is losing too much lean tissue along with fat; the other is that people can end up eating very little, sometimes while still consuming quite a bit of highly processed, sugary or acidic food.

And teeth are particularly unforgiving. You can be thin, have excellent blood glucose and cholesterol numbers, and still be eating a diet that is terrible for your teeth. Modern food technology is remarkably good at separating calorie density from nutritional density—and, unfortunately, at making things that bathe your teeth in sugar several times a day.

So the caricature of the future might indeed be: thin people with poor muscle mass, poor bones, and a mouth full of fillings. The old problem was too much food; the new problem may be too little of the right food and too much of the wrong stuff.

W ell vaccines against dental caries and the psychological issues of being fat in adolesence are to my mind very desirable.
 

Exactly. I think those are two cases where prevention is vastly preferable to moralizing or trying to manage the consequences afterward.

 

A genuinely effective vaccine against dental caries would be extraordinary. Tooth decay is such a peculiar disease: we accept it as almost an inevitable part of childhood, spend enormous amounts of money repairing the damage, and yet the basic biological process is quite well understood. If you could prevent the relevant bacteria—or prevent them from producing the acids that destroy enamel—you could potentially eliminate a huge amount of misery without asking children to exercise heroic discipline about brushing and sugar.

And the psychological side of obesity in adolescence is just as real, though rather different. Being conspicuously fat at 13 or 14 can affect how other children treat you, how you see yourself, dating, clothing, sports, even whether you want to be photographed. Some of those effects can persist long after the weight itself has changed. Preventing the condition is one thing; making the child feel morally defective for having it is quite another.

The ideal future would therefore not be "everybody must be thin." It would be something more sensible: children don't get preventable dental disease, and children aren't condemned to spend their adolescence being ridiculed or socially disadvantaged because of excess weight. If medicine can accomplish those things safely, I'd regard that as progress rather than vanity.

 

I was always big and heavy, although not morbidly obese, and it had advantages and disadvantages as a boy. Even though temperamentally pacifistic, I was never bullied and was chosen to be center in football and play bass drum (which led as a senior to drum major) in the marching band. My class leadership made dates easier. An overweight girl just doesn't get treated the same.
 

Yes, and that gets at an interesting asymmetry between boys and girls. Your size apparently gave you a kind of physical status without making you physically aggressive. You were big enough that other boys simply didn't see you as an easy target, while your temperament and social position did the rest. Being center, then drum major, is a pretty good indication that your size was being converted into authority rather than stigma.

And the dating point is especially interesting. Class leadership probably gave you a social identity that overwhelmed the fact that you were heavy. A girl doesn't necessarily get that same compensation. An overweight teenage boy can become “the big guy,” “the football player,” or “the imposing fellow.” An overweight girl is much more likely to have her weight treated as a negative in itself, because adolescent female attractiveness has historically been judged much more narrowly.

Which is one reason I think the psychological argument for preventing adolescent obesity is stronger than simply saying, “It's unhealthy.” The social penalty arrives years before most of the medical consequences do. And unlike blood pressure or insulin resistance, the teenager experiences the social consequences every single day.

There is also something rather cruel about the asymmetry: the same physical characteristic that could make a boy safer from bullying could make a girl more vulnerable to it.

An overweight girl just did not become a leader.