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Do I have to get a 1099-WT from my doctor every year? What if I don't have a regular doctor? Will there be mall kiosks where I can be measured and issued a 1099-WT for a small fee? And if I don't need documentation, what's to prevent me from making up my number? What do I do during the years I'm pregnant and/or breastfeeding, and my BMI goes completely out of range? Do I get a penalty if it falls under 17, making me anorexic by definition, since anorexia is more damaging and more life-threatening than mild to moderate obesity? (a 20 year old who is 25 or more pounds underweight is 10 times more likely to die within 10 years than a 20 year old who is 25 pounds overweight) What about the elderly? They often have BMIs that are in their target range, but are in fact underweight due to muscle atrophy rather than fat loss. And how do we accommodate a person who has had a double amputation? They often have incredible upper body strength, but due to their truncated height, would automatically be out of range. Or do we let them use the numbers they would have had if they still had their legs? And if so, can I use the height I "should" have been, rather than the height I am?
I really don't want the IRS that interested in my health, thanks. They already get to comment on my knee surgeries and my medications.
And what do we do with my partner, who is 6' 3" and 270 pounds and has the relative density of a small boulder? He's all bone and muscle (with a teeny bit of programmer's belly starting to come on, but he is nearly 36, so his doc says he's doing okay, over all) and if you drop him in water, he sinks (I think he may be part earth elemental, to be honest, but his mother denies that she ever had carnal knowledge of a rock). The man can't float with water wings and a kickboard. When he was in the Army, at the peak of his physical condition, he didn't meet his target BMI because he has utterly obscene bone density. Can he get an exemption if we submit his daily mileage records for walking and biking and our gym membership register records? Can I get an exemption if my joint condition worsens to the point where I cannot exercise?
It's just a bad idea - BMI is too inaccurate, there are far too many variables involved, and it puts yet another unhealthy imperative on an idealized body image that is unrealistic and based on people who were malnourished. (The BMI numbers and insurance numbers were first collected for people who had been children and adolescents during the Depression, and were statistically smaller in both stature and weight than either their children or their parents were. Enough people did not receive enough calories as children during the Depression that their growth was stunted, and thus the numbers were skewed. Research is just now showing that women who have experienced malnutrition before becoming pregnant are more likely to have children who are overweight, because hormonal factors during pregnancy increase the child's production of cortisol and decrease production of leptin.)
Our insurance gives us a discount if we work out, bike, walk and maintain our weights. That's enough for me.
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