>Driving With Fattitude: How to Drive While Fat

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>Be fat! Drive fat!
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 Safety first!

There are things that can keep you safe while driving while fat. Fasten that seat belt! Yeah yeah yeah I know that it can take a lot of effort but the cops target us fatlings because they know we are often too lazy to buckle up. Even though it is a lot of effort to reach around and grab that seat belt and shoulder harness, getting a ticket and paying a fine is even worse.


Seat belt extenders
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If you are fat enough to require a seat belt extender chances are you are on disability. The cost could be covered by your disability insurance. Having a seat belt extender not only says you’re fat, it says you’re damn fat! Wear it proudly!


You’re big so drive big! Ride in style!

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Nothing says fattitude more than a Cadillac Escalade. This greedy gas guzzling road hog demands respect and so do you. Let your ride be an extension of your fattitude. A big car will keep you safe!

Fat Driving Etiquette

Because your gas guzzler in an extension of your fattitude, think of it as your royal chariot. Drive like royalty! Use that handicap parking space. It’s your birth right. YOU ARE FAT!

It’s OK to double park. You probably won’t get a ticket and if you have a leanling with you simple drop them off a circle the block until the fetch what you need.

Let the Prius driving leanlings drive defensively. You are driving a tank. Let them think, “Drive defensively, watch out for the other guy” while you think, “Drive offensively, make the other guy watch out for you!”

Eat While Driving.

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Today’s cars are fairly well equipped for eating in but there could be some improvement. I, Fat Bastard, frequent Sonic Drive Inns because you don’t have to lean to get your food at the take out window. Instead a sexy thinling on roller skates delivers your food right to our car. How cool is that.

Some fatlings like to remain parked when they pig out not me. I like to cruise and chow down. Proud FA has installed a food claw in my Yukon. The claw is on a swing arm and it sits in front of me and I am able to eat many foods hands free. Proud has applied for a patent.

During the cooler months keep a stash of goodies in your car. I like peanuts and chips. They keep well.


Don’t let mobility issues keep you from being a road warrior!

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There is a good chance that you can talk your fat friendly doctor into getting you one of these bad boys. Think of the van as the mother ship and think of your scooter as a star fighter and think of yourself as a Jedi warrior while in the scooter and Jabba the Hut when in the van.

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Hot hefty hunny heading for her road hog!

>US Health Care System Leading Cause of Death and Injury

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>

Fat Bastard is finally out of the hospital and still recovering from the many many foul-ups and we suspect that some of his injuries at the hands of our corrupt medical system are permanent. For legal reasons we cannot go into the specifics of the case so for now let is suffice to say that my beloved friend Fat Bastard was simply one of many millions of victims of our genocidal health care system.

What does this have to do with fat acceptance? Not much. Bad health care effects everyone but it does impact more on the obese due to attitudes and the fact fat people get sick more often.

If Fat Bastard had simply gone home after his tumble down the escalator because other than a broken arm and some bumps and bruises Fat Bastard would have been fine. It was the many medical errors that nearly cost Fat Bastard his life. I believe it was Clara Barton that said, “first do no harm.” Today’s MDs and their brand of health care often do more harm than good.

During the litigation process the sleazy lawyers for the hospital will bring up Fat Bastard’s obesity but a good judge will rule it irrelevant. We are hoping for a fat friendly judge. In the meantime, Fat Bastard and I have decided as a public service to our readers we should post some information about our deadly and greedy corporate run health care system.

We encourage our readers to read the following report and copy and paste it into their email and send it to everyone. We further encourage our readers to contact every elected official they can by phone, email and snail mail and tell them to stop this genocide. We encourage our readers to contact local, state and federal law enforcement and report this ongoing crime wave.

The US health care system is the most expensive and the most deadly on earth. We are currently ranked 39th in the world by the World Health Organization but if you were to rate the US health care system on dollars spent on health care it would be at the bottom of the heap.

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The US spends 17% of its GDP on health care. On the other hand Europe spends about 6%. Italy and France are the top 2 countries for health care. Why is it that France and Italy spend far less on their government run health care and deliver health care that is safer and better while the corporate health care here in the US is expensive and deadly? It would seem that countries who have the best food art, food and wine also have the best health care.

Assholes like that cry baby Glenn Beck and that junkie Rush Limbaugh will tell you that the US health care system is the best in the world and that people from other countries come here for health care. That is mostly bullshit. The fact is, US health care sucks more than Glenn Beck, Rush Limbaugh and Sean Hannity combined. The other media whores like Lou Dobbs, and Kieth Olberman are simply silent on this holocaust. The other fact is many more US citizens go out of country for health than foreigners come here simply because American health care sucks and it is too expensive and deadly. Medical tourism is growing in leaps and bounds. Hopefully the Europeans and the Japanese will send hospital ships with their doctors and rescue us from this, the biggest threat since the Cold War and the Cuban Missile Crisis.

How many other professions actually rake in more money by screwing up? Think about it. Would you be forced to pay some joker who you hired to fix your fridge if in his attempts to fix it he ended up causing more damage or damaging so badly it had to be scrapped? Do you think a reputable repairman would have the balls to charge customers for his blunders? MDs are held to a different and lower standard than your average working stiff. That is plain wrong!

Here is link to some personal stories of victims of sloppy and greedy medicine.
http://www.ralphhugheslaw.com/medical_mistakes.html

Contact you US senator here: http://www.senate.gov/general/contact_information/senators_cfm.cfm

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Modern Health Care System is the Leading Cause of Death!
Doctors are in fact the LEADING cause of death in this country. Not heart disease, not cancer–doctors. In all fairness, doctors themselves are not to blame for all of this. The entire modern health care system, however, is to blame for allowing, even promoting, so many unnecessary procedures, drugs and mishaps. This illustrates precisely why the system is so desperately in need of change, and why facilitating this change is, and will continue to be the mission of the Advanced Scientific Health Research Team.

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By Gary Null PhD, Carolyn Dean MD ND, Martin Feldman MD, Debora Rasio MD, Dorothy Smith PhD

A definitive review and close reading of medical peer-review journals, and government health statistics shows that American medicine frequently causes more harm than good. The number of people having in-hospital, adverse drug reactions (ADR) to prescribed medicine is 2.2 million. 1 Dr. Richard Besser, of the CDC, in 1995, said the number of unnecessary antibiotics prescribed annually for viral infections was 20 million. Dr. Besser, in 2003, now refers to tens of millions of unnecessary antibiotics. 2, 2a

The number of unnecessary medical and surgical procedures performed annually is 7.5 million. 3 The number of people exposed to unnecessary hospitalization annually is 8.9 million. 4 The total number of iatrogenic [induced inadvertently by a physician or surgeon or by medical treatment or diagnostic procedures] deaths shown in the following table is 783,936.

It is evident that the American medical system is the leading cause of death and injury in the United States. The 2001 heart disease annual death rate is 699,697; the annual cancer death rate, 553,251. 5

TABLES AND FIGURES (see Section on Statistical Tables and Figures, below, for exposition)

ANNUAL PHYSICAL AND ECONOMIC COST OF MEDICAL INTERVENTION

Condition Deaths Cost Author
Adverse Drug Reactions 106,000 $12 billion Lazarou1 Suh49
Medical error 98,000 $2 billion IOM6
Bedsores 115,000 $55 billion Xakellis7 Barczak8
Infection 88,000 $5 billion Weinstein9 MMWR10
Malnutrition 108,800 ——– Nurses Coalition11
Outpatients 199,000 $77 billion Starfield12 Weingart112
Unnecessary Procedures 37,136 $122 billion HCUP3,13
Surgery-Related 32,000 $9 billion AHRQ85

TOTAL

783,936 $282 billion

We could have an even higher death rate by using Dr. Lucien Leape’s 1997 medical and drug error rate of 3 million. 14 Multiplied by the fatality rate of 14 percent (that Leape used in 1994 16 we arrive at an annual death rate of 420,000 for drug errors and medical errors combined. If we put this number in place of Lazorou’s 106,000 drug errors and the Institute of Medicine’s (IOM) 98,000 medical errors, we could add another 216,000 deaths making a total of 999,936 deaths annually.

Condition Deaths Cost Author
ADR/med error 420,000 $200 billion Leape 199714

TOTAL

999,936

ANNUAL UNNECESSARY MEDICAL EVENTS STATISTICS

Unnecessary Events People Affected Iatrogenic Events
Hospitalization 8.9 million4 1.78 million16
Procedures 7.5 million3 1.3 million40

TOTAL

16.4 million 3.08 million

The enumerating of unnecessary medical events is very important in our analysis. Any medical procedure that is invasive and not necessary must be considered as part of the larger iatrogenic picture. Unfortunately, cause and effect go unmonitored. The figures on unnecessary events represent people (“patients”) who are thrust into a dangerous health care system. They are helpless victims. Each one of these 16.4 million lives is being affected in a way that could have a fatal consequence. Simply entering a hospital could result in the following (out of 16. 4 million people):

  • 2.1 percent chance of a serious adverse drug reaction (186,000) 1

  • 5 percent to 6 percent chance of acquiring a nosocomial [hospital] infection (489,500) 9

  • 4 percent to 36 percent chance of having an iatrogenic injury in hospital (medical error and adverse drug reactions) (1.78 million) 16

  • 17 percent chance of a procedure error (1.3 million) 40

All the statistics above represent a one-year time span. Imagine the numbers over a 10-year period. Working with the most conservative figures from our statistics we project the following 10-year death rates.

TEN-YEAR DEATH RATES FOR MEDICAL INTERVENTION

7,841,360 (7.8 million)

Condition 10-Year Deaths Author
Adverse Drug Reaction 1.06 million (1)
Medical error 0.98 million (6)
Bedsores 1.15 million (7,8)
Nosocomial Infection 0.88 million (9,10)
Malnutrition 1.09 million (11)
Outpatients 1.99 million (12, 112)
Unnecessary Procedures 371,360 (3,13)
Surgery-related 320,000 (85)

TOTAL

Our projected statistic of 7.8 million iatrogenic deaths is more than all the casualties from wars that America has fought in its entire history.

Our projected figures for unnecessary medical events occurring over a 10-year period are also dramatic.

TEN-YEAR STATISTICS FOR UNNECESSARY INTERVENTION

164 million

Unnecessary Events 10-year Number Iatrogenic Events
Hospitalization 89 million4 17 million
Procedures 75 million3 15 million

TOTAL

These projected figures show that a total of 164 million people, approximately 56 percent of the population of the United States, have been treated unnecessarily by the medical industry–in other words, nearly 50,000 people per day.

Introduction

Never before have the complete statistics on the multiple causes of iatrogenesis been combined in one paper. Medical science amasses tens of thousands of papers annually–each one a tiny fragment of the whole picture.

To look at only one piece and try to understand the benefits and risks is to stand one inch away from an elephant and describe everything about it.

You have to pull back to reveal the complete picture, such as we have done here. Each specialty, each division of medicine, keeps their own records and data on morbidity and mortality like pieces of a puzzle. But the numbers and statistics were always hiding in plain sight. We have now completed the painstaking work of reviewing thousands and thousands of studies. Finally putting the puzzle together we came up with some disturbing answers.

Is American Medicine Working?

At 14 percent of the Gross National Product, health care spending reached $1.6 trillion in 2003.15 Considering this enormous expenditure, we should have the best medicine in the world. We should be reversing disease, preventing disease, and doing minimal harm. However, careful and objective review shows the opposite. Because of the extraordinary narrow context of medical technology through which contemporary medicine examines the human condition, we are completely missing the full picture.

Medicine is not taking into consideration the following monumentally important aspects of a healthy human organism:

(a) Stress and how it adversely affects the immune system and life processes

(b) Insufficient exercise

(c) Excessive caloric intake

(d) Highly processed and denatured foods grown in denatured and chemically damaged soil

(e) Exposure to tens of thousands of environmental toxins.

Instead of minimizing these disease-causing factors, we actually cause more illness through medical technology, diagnostic testing, overuse of medical and surgical procedures, and overuse of pharmaceutical drugs. The huge disservice of this therapeutic strategy is the result of little effort or money being appropriated for preventing disease.

Under-reporting of Iatrogenic Events

As few as 5 percent and only up to 20 percent of iatrogenic acts are ever reported.16,24,25,33,34 This implies that if medical errors were completely and accurately reported, we would have a much higher annual iatrogenic death rate than 783,936. Dr. Leape, in 1994, said his figure of 180,000 medical mistakes annually was equivalent to three jumbo-jet crashes every two days.16 Our report shows that six jumbo jets are falling out of the sky each and every day.

Correcting a Compromised System

What we must deduce from this report is that medicine is in need of complete and total reform: from the curriculum in medical schools to protecting patients from excessive medical intervention. It is quite obvious that we can’t change anything if we are not honest about what needs to be changed. This report simply shows the degree to which change is required.

We are fully aware that what stands in the way of change are powerful pharmaceutical companies, medical technology companies, and special interest groups with enormous vested interests in the business of medicine. They fund medical research, support medical schools and hospitals, and advertise in medical journals. With deep pockets they entice scientists and academics to support their efforts. Such funding can sway the balance of opinion from professional caution to uncritical acceptance of a new therapy or drug.

You only have to look at the number of invested people on hospital, medical, and government health advisory boards to see conflict of interest. The public is mostly unaware of these interlocking interests. For example, a 2003 study found that nearly half of medical school faculty, who serve on Institutional Review Boards (IRB) to advise on clinical trial research, also serve as consultants to the pharmaceutical industry. 17 The authors were concerned that such representation could cause potential conflicts of interest.

A news release by Dr. Erik Campbell, the lead author, said,

“Our previous research with faculty has shown us that ties to industry can affect scientific behavior, leading to such things as trade secrecy and delays in publishing research. It’s possible that similar relationships with companies could affect IRB members’ activities and attitudes.”18

Medical Ethics and Conflict of Interest in Scientific Medicine

Jonathan Quick, director of Essential Drugs and Medicines Policy for the World Health Organization (WHO) wrote in a recent WHO Bulletin:

“If clinical trials become a commercial venture in which self-interest overrules public interest and desire overrules science, then the social contract which allows research on human subjects in return for medical advances is broken.”19

Former editor of the New England Journal of Medicine (NEJM), Dr. Marcia Angell, struggled to bring the attention of the world to the problem of commercializing scientific research in her outgoing editorial titled “Is Academic Medicine for Sale?”20 Angell called for stronger restrictions on pharmaceutical stock ownership and other financial incentives for researchers. She said that growing conflicts of interest are tainting science.

She warned that, “When the boundaries between industry and academic medicine become as blurred as they are now, the business goals of industry influence the mission of medical schools in multiple ways.” She did not discount the benefits of research but said a Faustian bargain now existed between medical schools and the pharmaceutical industry.

Angell left the NEMJ in June 2000. Two years later, in June 2002, the NEJM announced that it would now accept biased journalists (those who accept money from drug companies) because it is too difficult to find ones who have no ties. Another former editor of the journal, Dr. Jerome Kassirer, said that was just not the case, that there are plenty of researchers who don’t work for drug companies.21 The ABC report said that one measurable tie between pharmaceutical companies and doctors amounts to over $2 billion a year spent for over 314,000 events that doctors attend.

The ABC report also noted that a survey of clinical trials revealed that when a drug company funds a study, there is a 90 percent chance that the drug will be perceived as effective whereas a non-drug company-funded study will show favorable results 50 percent of the time.

It appears that money can’t buy you love but it can buy you any “scientific” result you want.

The only safeguard to reporting these studies was if the journal writers remained unbiased. That is no longer the case.

Cynthia Crossen, writer for the Wall Street Journal in 1996, published “Tainted Truth: The Manipulation of Fact in America,” a book about the widespread practice of lying with statistics.22 Commenting on the state of scientific research she said that:

“The road to hell was paved with the flood of corporate research dollars that eagerly filled gaps left by slashed government research funding.”

Her data on financial involvement showed that in l981 the drug industry “gave” $292 million to colleges and universities for research. In l991 it “gave” $2.1 billion.

The First Iatrogenic Study

Dr. Lucian L. Leape opened medicine’s Pandora’s box in his 1994 JAMA paper, “Error in Medicine.”16 He began the paper by reminiscing about Florence Nightingale’s maxim–“first do no harm.” But he found evidence of the opposite happening in medicine. He found that Schimmel reported in 1964 that 20 percent of hospital patients suffered iatrogenic injury, with a 20 percent fatality rate. Steel in 1981 reported that 36 percent of hospitalized patients experienced iatrogenesis with a 25 percent fatality rate and adverse drug reactions were involved in 50 percent of the injuries. Bedell in 1991 reported that 64 percent of acute heart attacks in one hospital were preventable and were mostly due to adverse drug reactions.

However, Leape focused on his and Brennan’s “Harvard Medical Practice Study” published in 1991.16a They found that in 1984, in New York State, there was a 4 percent iatrogenic injury rate for patients with a 14 percent fatality rate. From the 98,609 patients injured and the 14 percent fatality rate, he estimated that in the whole of the United States 180,000 people die each year, partly as a result of iatrogenic injury. Leape compared these deaths to the equivalent of three jumbo-jet crashes every two days.

Why Leape chose to use the much lower figure of four percent injury for his analysis remains in question. Perhaps he wanted to tread lightly. If Leape had, instead, calculated the average rate among the three studies he cites (36 percent, 20 percent, and 4 percent), he would have come up with a 20 percent medical error rate. The number of fatalities that he could have presented, using an average rate of injury and his 14 percent fatality, is an annual 1,189,576 iatrogenic deaths, or over ten jumbo jets crashing every day.

Leape acknowledged that the literature on medical error is sparse and we are only seeing the tip of the iceberg. He said that when errors are specifically sought out, reported rates are “distressingly high.” He cited several autopsy studies with rates as high as 35 percent to 40 percent of missed diagnoses causing death. He also commented that an intensive care unit reported an average of 1.7 errors per day per patient, and 29 percent of those errors were potentially serious or fatal.

We wonder: what is the effect on someone who daily gets the wrong medication, the wrong dose, the wrong procedure; how do we measure the accumulated burden of injury; and when the patient finally succumbs after the tenth error that week, what is entered on the death certificate?

Leape calculated the rate of error in the intensive care unit. First, he found that each patient had an average of 178 “activities” (staff/procedure/medical interactions) a day, of which 1.7 were errors, which means a 1 percent failure rate. To some this may not seem like much, but putting this into perspective, Leape cited industry standards where in aviation a 0.1 percent failure rate would mean:

  • Two unsafe plane landings per day at O’Hare airport

  • In the U.S. mail, 16,000 pieces of lost mail every hour

  • In banking, 32,000 bank checks deducted from the wrong bank account every hour

Analyzing why there is so much medical error Leape acknowledged the lack of reporting. Unlike a jumbo-jet crash, which gets instant media coverage, hospital errors are spread out over the country in thousands of different locations. They are also perceived as isolated and unusual events. However, the most important reason that medical error is unrecognized and growing, according to Leape, was, and still is, that doctors and nurses are unequipped to deal with human error, due to the culture of medical training and practice.

Doctors are taught that mistakes are unacceptable. Medical mistakes are therefore viewed as a failure of character and any error equals negligence.

We can see how a great deal of sweeping under the rug takes place since nobody is taught what to do when medical error does occur. Leape cited McIntyre and Popper who said the “infallibility model” of medicine leads to intellectual dishonesty with a need to cover up mistakes rather than admit them. There are no Grand Rounds on medical errors, no sharing of failures among doctors and no one to support them emotionally when their error harms a patient.

Leape hoped his paper would encourage medicine “to fundamentally change the way they think about errors and why they occur.” It’s been almost a decade since this groundbreaking work, but the mistakes continue to soar.

One year later, in 1995, a report in JAMA said that:

“Over a million patients are injured in U.S. hospitals each year, and approximately 280,000 die annually as a result of these injuries. Therefore, the iatrogenic death rate dwarfs the annual automobile accident mortality rate of 45,000 and accounts for more deaths than all other accidents combined.”23

At a press conference in 1997 Dr. Leape released a nationwide poll on patient iatrogenesis conducted by the National Patient Safety Foundation (NPSF), which is sponsored by the American Medical Association. The survey found that more than 100 million Americans have been impacted directly and indirectly by a medical mistake. Forty-two percent were directly affected and a total of 84 percent personally knew of someone who had experienced a medical mistake.14 Dr. Leape is a founding member of the NPSF.

Dr. Leape at this press conference also updated his 1994 statistics saying that medical errors in inpatient hospital settings nationwide, as of 1997, could be as high as 3 million and could cost as much as $200 billion. Leape used a 14 percent fatality rate to determine a medical error death rate of 180,000 in 1994.16 In 1997, using Leape’s base number of 3 million errors, the annual deaths could be as much as 420,000 for inpatients alone. This does not include nursing home deaths, or people in the outpatient community dying of drug side effects or as the result of medical procedures.

Only a Fraction of Medical Errors are Reported

Leape, in 1994, said that he was well aware that medical errors were not being reported.16 According to a study in two obstetrical units in the U.K., only about one quarter of the adverse incidents on the units are ever reported for reasons of protecting staff or preserving reputations, or fear of reprisals, including law suits.24 An analysis by Wald and Shojania found that only 1.5 percent of all adverse events result in an incident report, and only 6 percent of adverse drug events are identified properly.

The authors learned that the American College of Surgeons gives a very broad guess that surgical incident reports routinely capture only 5 percent to 30 percent of adverse events. In one surgical study only 20 percent of surgical complications resulted in discussion at Morbidity and Mortality Rounds.25 From these studies it appears that all the statistics that are gathered may be substantially underestimating the number of adverse drug and medical therapy incidents. It also underscores the fact that our mortality statistics are actually conservative figures.

An article in Psychiatric Times outlines the stakes involved with reporting medical errors.26 They found that the public is fearful of suffering a fatal medical error, and doctors are afraid they will be sued if they report an error.

This brings up the obvious question: who is reporting medical errors?

Usually it is the patient or the patient’s surviving family. If no one notices the error, it is never reported. Janet Heinrich, an associate director at the U.S. General Accounting Office responsible for health financing and public health issues, testifying before a House subcommittee about medical errors, said that:

“The full magnitude of their threat to the American public is unknown.” She added, “Gathering valid and useful information about adverse events is extremely difficult.”

She acknowledged that the fear of being blamed, and the potential for legal liability, played key roles in the under-reporting of errors. The Psychiatric Times noted that the American Medical Association is strongly opposed to mandatory reporting of medical errors.26 If doctors aren’t reporting, what about nurses? In a survey of nurses, they also did not report medical mistakes for fear of retaliation.27

Standard medical pharmacology texts admit that relatively few doctors ever report adverse drug reactions to the FDA.28 The reasons range from not knowing such a reporting system exists to fear of being sued because they prescribed a drug that caused harm. 29 However, it is this tremendously flawed system of voluntary reporting from doctors that we depend on to know whether a drug or a medical intervention is harmful.

Pharmacology texts will also tell doctors how hard it is to separate drug side effects from disease symptoms. Treatment failure is most often attributed to the disease and not the drug or the doctor. Doctors are warned, “Probably nowhere else in professional life are mistakes so easily hidden, even from ourselves.”30 It may be hard to accept, but not difficult to understand, why only one in twenty side effects is reported to either hospital administrators or the FDA.31,31a

If hospitals admitted to the actual number of errors and mistakes, which is about 20 times what is reported, they would come under intense scrutiny.32

Jerry Phillips, associate director of the Office of Post Marketing Drug Risk Assessment at the FDA, confirms this number. “In the broader area of adverse drug reaction data, the 250,000 reports received annually probably represent only 5 percent of the actual reactions that occur.”33 Dr. Jay Cohen, who has extensively researched adverse drug reactions, comments that because only 5 percent of adverse drug reactions are being reported, there are, in reality, 5 million medication reactions each year.34

It remains that whatever figure you choose to believe about the side effects from drugs, all the experts agree that you have to multiply that by 20 to get a more accurate estimate of what is really occurring in the burgeoning “field” of iatrogenic medicine.

A 2003 survey is all the more distressing because there seems to be no improvement in error reporting even with all the attention on this topic. Dr. Dorothea Wild surveyed medical residents at a community hospital in Connecticut. She found that only half of the residents were aware that the hospital had a medical error-reporting system, and the vast majority didn’t use it at all. Dr. Wild says this does not bode well for the future. If doctors don’t learn error reporting in their training, they will never use it. And she adds that error reporting is the first step in finding out where the gaps in the medical system are and fixing them. That first baby step has not even begun.35

Public Suggestions on Iatrogenesis

In a telephone survey, 1,207 adults were asked to indicate how effective they thought the following would be in reducing preventable medical errors that resulted in serious harm:36

  • Giving doctors more time to spend with patients: very effective 78 percent

  • Requiring hospitals to develop systems to avoid medical errors: very effective 74 percent

  • Better training of health professionals: very effective 73 percent

  • Using only doctors specially trained in intensive care medicine on intensive care units: very effective 73 percent

  • Requiring hospitals to report all serious medical errors to a state agency: very effective 71 percent

  • Increasing the number of hospital nurses: very effective 69 percent

  • Reducing the work hours of doctors-in-training to avoid fatigue: very effective 66 percent

  • Encouraging hospitals to voluntarily report serious medical errors to a state agency: very effective 62 percent

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Obligatory fat girl eating a sausage wiener.

What Can You Do?

1. Don’t get sick. Portly Ben Franklin said that an ounce of prevention is worth a pound of cure. Truer words were never spoken. Carolyn Dean is one of the MDs who wrote the article I quoted. It is easy to say, “Don’t get sick.” but Dr Carolyn Dean actually shows you how. She is like Dr Oz. She’s one of the bold medical practitioners who cares more about good health than profits. Here’s her site. http://www.drcarolyndean.com/content/?section=48_week_program&page=freesample

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Dr Carolyn Dean

Dr Dean also authored several outstanding books.

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Check out her outstanding site.

2. Avoid US health care when ever possible.

3. If you know of a dangerous and careless doctor picket his office.

4. Use the internet. Start a blog and blog hard about our horrible health care system. Start chain emails. Go in other blogs and forums.

5. Write and call your elected officials often.

6. Let doctors know how much you think they suck.

7. Write letters to your local paper about conditions in your local hospital.

8. Get as much dirt on them are possible.

9. Contact celebrities like Suzanne Somers and Susan Powter.

10. Attend town hall meetings, confront your elected officials with the facts and pass out information about this medical holocaust.

11. Start a medical blunders support group and mobilize your members.

Things You Should Not Do

I know you are pissed about Fat Bastard’s treatment at the hands of these barbarians but do not go off half cocked. I know this is a holocaust that effects many millions of people of all ages, races, religions and sizes. In fact this is as bad as what the Nazis did but this is not a call to arms it is a call to action. The pen is mightier than the sword.

1. I know some people think violence is the answer and maybe some of our readers can make the argument that it is but we at Bigger Fatter Blog are lovers not fighters so if you are inclined to seek some do it yourself justice on these money grubbing murdering scumbags we would urge you to take a peaceful path like Gandhi did even though it may prevent countless deaths at the hands of these greedy butchers.

2. Don’t fuck with their cars. I know it would be fun to spray paint butcher or murdering scum on their cars or slash their tires. If you make them late for a round of golf they will only take it out on their patients or cause them to commit more Medicaid and Medicare fraud than they are already doing. They are the terrorists and criminals. You are better than that, so as tempting as it may be to burn them out don’t or you will be just like them. If you are a reader on this blog you are better than them. Let your karma run over their greedy dogma. They will burn in hell.

3. Don’t send the name and addresses of the bastards causing this holocaust to the criminally insane.

4. Get sick or injured. Do your best to stay healthy.

5. If you smoke stop.

6. If you are a dare devil stop.

7. Don’t include the anti-abortion kooks because they are violent and if they go off and start killing doctors, drug company CEO’s and CEO’s of medical corporations it will reflect badly on the true health care reform movement.

Please keep Fat Bastard in your thoughts and prayers. Work hard to stop this genocide.

>Men, Moobs and Mammograms

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Just as sloth and gluttony has become fashionable so has the moob aka the man boob. Massive meaty male mammary glands are fast becoming fashionable. More and more men are flaunting macho melons. Unfortunately the fashion industry has been slow in recognizing the commercial potential of these hefty he man hooters.

Sadly for America, Japan has taken the lead in the development of men’s over the shoulder boulder holders. America will be importing men’s bras from Japan. Leave it to the resourceful Japanese to recognize the next big thing and beat us to the punch.

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Nippon Brassiere company.

Fat men have enjoyed wearing thong panties for many years so why has it taken so long for clothing manufacturers and designers to produce a man bra for the unique man boob?

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Above: Fat man flaunting his flabby fanny WWE’s Rikishi show his ample ass.

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Chips ahoy! Jack Nicholson growing his man boobs (moobs)

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This guy needs a bird dog bra to turn his setters into pointers.

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Vinnie Barbarino or Vinnie Boobarino?

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American Idol’s boobastic Simon Cowell sporting a perky pair

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Macho Macho Moobs!
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Big bouncy boy boobs!

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The Japanese are always copying us Yanks

OK ladies you have seen a whole bunch of greedy gluttons with gynecomastia but now it is time to stop drooling. Proud FA brought up a serious issue, breast cancer in men. I decided to consult a fat friendly doctor for the skinny on boy boob blubber. Here is part of the interview.

Doctor Sizemore on Moobs
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Dr Sizemore checking for breast and testicular cancer.

Fat Bastard: Dr. Sizemore, do men get breast cancer

Dr. Sizemore: The answer to your question Fat Bastard is yes. Men make up about two percent of all breast cancer cases, but breast cancer in men is often fatal because the symptoms are ignored.

Men would be wise to do a self-exam when they take a shower. Some men’s chests, being flat, will be easier to examine than a woman’s chest is. Guys like you Fat Bastard have breasts that are not unlike women’s breasts. Soaping your breasts makes them slippery and that helps you feel the details of the tissue better. This is true for women, too, of course.

Fat Bastard: That sounds like fun!

Doctor Sizemore: If you find a lump, you should get a mammogram. I don’t think there is a recommendation for routine mammograms for men, but because sadly so few protocols exist, I suggest you do your own extensive literature search.

Fat Bastard: Have you treated many men with breast cancer?

Dr Sizemore: I have had several male patients with breast cancer. I would like to tell you about one in particular.

Fat Bastard: Please do.

Doctor Sizemore: His first symptom was that his left nipple was inverted – it was pulling in. That began to increase and then it became very painful. One night, it hurt so badly that it woke him up. That’s when he called my office. I found a lump so I sent him on to a surgeon.

The surgeon said he didn’t think he had breast cancer, but he tested him anyway and found out what I had suspected. Eventually he went to a breast specialist to have the tumor removed.

Since this experience, I have run into four or five more cases in Herkimer alone. I don’t hear the media talk about male breast cancer though, so I’m hoping to raise awareness.

Fat Bastard: We will be presenting this on Bigger Fatter Blog doctor. We too want to raise awareness. If I told my doctor that I suspected I had breast cancer how would he respond?

Doctor Sizemore: I would expect that many general practitioners would brush you off, send you on your way with some antibiotics.

Since we can’t count on the media for accuracy and balanced reporting, I appreciate guys like you Fat Bastard keeping the public informed.

Fat Bastard: Are men with moobs at greater risk for developing breast cancer.

Doctor Sizemore: I really cannot give you a definite yes because the problem has not been thoroughly studied but I can tell you from my own experience that all of the cases of male breast cancer I have observed in my patients obesity was also present. That makes sense for many reasons. For certain cancers like breast cancer there is a link to estrogen. Fat stores more estrogen. There is also evidence in the medical literature that testosterone can prevent breast cancer. Being that fat men tend to have lower testosterone levels and higher estrogen levels then it would follow that they would be more likely to develop breast cancer. Fat also tends to store more carcenogens and fat people tend to eat more processed foods that are low in anti-oxidants. That too can increase the risks for all sorts of cancers. Fat people do develop cancer at a higher rate than lean people so I would have to say that it is reasonable to conclude that fat men are more likely to develop breast cancer than lean men.

Fat Bastard: As the leading voice in the new fat acceptance it is our duty to keep fat guys informed about health issues. Doctor, should men with boobs get mammograms?

Dr Sizemore: Most doctors would say no but they would be wrong. I strongly recommend men with gynecomastia have regular mammograms.

____________________________________________________________________

Blog readers,

Breast cancer is another risk of gluttony and obesity. If you find the risk acceptable as we do then be fat and pig out like the glutton that you are. If you don’t find that the risks outweigh the pleasures derived from gluttony then don’t be fat greedy gormandizer like us. Because this blog is done in the interest of fat people we give you both sides of the story. I encourage our readers to examine their moobs regularly. Being that moobs are pretty much the same as boobs the examination protocols are the same. If you have moobs you should have a yearly mammogram. If your doctor does not schedule you for one find a doctor who will. In the meantime learn how to perform a proper moob self-examination.

At your service,

Fat Bastard and Proud FA, Leaders of the New Fat Acceptance movement.

PS I have asked Teddy Bear for his thoughts on moobs. For those of you who don’t know, Teddy Bear is a the world’s leading authority on obese anatomy and obese body types ie soma-forms. If you have not read his work on pear and apple shaped bodies please do. It is both highly entertaining and informative. If I may I would like to coin a term for the field of study Dr Gerald “Teddy” Bear has created. I will call it fatanatomy.

EAT LIKE A PIG!

Fat Bastard

>FATTY AT THE FAT

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>FATTY at the FAT by Fat Bastard

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FATTY at the FAT

The outlook isn’t brilliant for Americans today;
Three quarters are fat or obese I am sad to say,
To doctors and weight loss gurus it’s a money making game
All they offer fat folks is more and more of the silly same

A waddling herd goes to McDonalds. The rest
Cling to that hope which springs eternal in a Kentucky Fried Chicken breast;
They thought, “If only miracle could get their metabolisms out of whack
They’d spend lots of money now, on an Atkins style quack.”

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But Atkins died a big fat pig, a charlatan and fake,
And Jenny Craig says it OK to eat a lot of cake;

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So upon that stricken multitude of lemmings oh so fat;
Comes Dr Phil without a pill but a major bastard rat.
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Though Dr Phil paid huge fines to the FTC, his books
Get published by Slimon and Shyster another bunch of crooks.
And when the lemmings read his books they continue to get fat,
I bet they need another book. Do you think it might be that?

400,000 Americans this year will see an early grave
Simply because when it comes to food they choose not to behave
They waddle to the doctor to get their insulin,
Fatty pays a fortune and big pharma cashes in.
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There is this sleaze in doctor’s manner because he knows his place;
Is to bilk the patient’s HMO and put a smile on his face.
Responding to the jeers, he says, “Your reaction is quite odd.
M. D. stands for Me Deity. In other words, I’m God.”
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Now on insulin and statin drugs Fatty enjoys all food.
But don’t be late with his dinner plate it may effect his mood.

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He knows now that he’s not too fat he’s happy to report,
He tells the world he can’t wipe his butt cause his arms are just to short.

Walking to the parking lot he’ll wheeze and gasp for air,
Knowing that the paramedics can quickly be right there.
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Close by a Gold’s Gym beckons to the healthy and the fit
“That ain’t my style,” said Fatty, “I’d rather eat and sit.

From the realm of reality came a sane and sober voice,
That said that being fat and sick and gluttonous really was a choice.
We are not made fat by our genes or the stress that comes with life
And it’s OK to complain about your fat and lazy wife.

Perhaps this trend towards obesity could be a moral failing;
A symptom of a society that is weak and sick and ailing
Ask A fatty why he’s fat and he will tell a lie.
Ask him if he eats too much, it’s something he’ll deny.

“Fraud!” cried the maddened voice, and echo answered “Fraud!”
But one scornful look from a Fatty and the audience was awed.

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“How dare anyone imply it is my fault”, an angry Fatty roared!
“I eat because I’m hungry and I eat because I’m bored”.

A sneer has fled from Fatty’s lip, the teeth are clenched in hate;
He pounds with cruel violence his fork upon the dinner plate.
And now the waiter holds the tray and now he lets it go,
And now the air is shattered by the force of Fatty’s mighty blow.

Oh, somewhere in this favored land the sun is shining bright,
The band is playing somewhere, and somewhere hearts are light,
And somewhere men are laughing, and little children shout;
But there is no joy in Fatland — Mighty Fatty’s heart crapped out.
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>$$$ Free Money For Fatlings $$$

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>

$$$ FREE Money For Fatlings $$$

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CHA CHING! $$$$ Compliments of Uncle Sam $$$$

One of the nicest things about porking fat women is that many of them are simply too fat to work. That means that they are home all day just waiting for a feeding and a fucking from yours truly. One secret that the old fat acceptance with their victim mentality will not tell you is that you can get free money, housing and medical benefits simply for being too fat. When I hear the vitriol from the angry hens like Kelly Bliss in the old fat acceptance movement I hasten to remind them just how fat friendly society and Uncle Sam have become. Fat Bastard is currently on SSDI and SSI due to the disabling condition of his disability but little did he know that simply being fat would qualify him for disability long before the heart disease, diabetes and bad knees kicked in. Cha Ching! This is another example of how the old fat acceptance through their intellectual dishonesty and their warped ideology have dropped the ball and further harmed fat people. At the next NAAFA convention, if there even is one this year Fat Bastard and I will be serving a HUGE plate of crow to NAAFA’s big wigs.

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Bon Appetite NAAFA!

Gluttonous Fatlings are indeed becoming a protected and special class. Unlike Blacks who had to march and be killed just to receive basic human rights, all fatlings need to do is get fatter they have already become the majority. Fatlings did not even need a dynamic leader and martyr like Dr Martin Luther King. The only debt of gratitude that is owed by the fat community is big thank you to the food industry for serving our needs and never forgetting that the customer is always right, the medical community for all the advances that enable fat people to grow fatter and fatter and fatter and to Uncle Sam for accommodating the needs of all fat Americans regardless of color, creed or national origin and Bill Fabrey of Ample Stuff. USA USA USA USA! May the Belly God Bless America!

Social Security Disability and Morbid Obesity $$$

There was a time when Morbid Obesity was specifically listed in the social security impairment book, or blue book, as a disabling condition. Individuals filing for social security disability (SSD) or supplemental security income (SSI) benefits were evaluated according to a social security height/weight chart and, if their statistics met the blue book definition of obesity, they could be awarded benefits based on that condition alone.

All that changed in 1999, when Social Security no longer recognized obesity as an inherently disabling condition. The logic was that many obese individuals are able to lead productive lives and hold gainful employment. Today, you can still be awarded disability benefits for obesity, Cha Ching but only if you can demonstrate through medical records that your obesity is causing other physical symptoms severe enough to prevent you from working.

In other words, you must show, not only that you are obese, but that you are unable to work, either due to the existence of other related medical conditions such as arthritis, musculoskeletal disorders, diabetes, decreased pulmonary function (extreme difficulty breathing), etc., or due to the fact that your obesity is in itself so severe it limits you from performing work and other activities of daily living, such as driving a car, bathing, walking, etc. Cha Ching!

If your obesity is aggravating (or the cause of) medical conditions such as asthma, cardiac arrhythmia, edema, arthritis, etc., then you would file for disability based on the condition that is listed in the blue book (not obesity).

If you are morbidly obese but do not suffer from any other serious medical condition, you may still qualify for SSD/SSI benefits in the form of a medical vocational allowance, commonly referred to as a Med-Voc. A Med-Voc allowance is awarded to individuals that can show that their condition, while not listed in the blue book, is so severe that it prevents them from performing any form of gainful employment. Cha Ching! Med-Voc allowances rely heavily on a physician’s statement of your residual functional capacity (RFC), a form detailing exactly what activities you can and cannot perform in light of your medical condition.

RFC assessments are made by physicians who provide input on SSD and SSI cases for the social security administration. However, a claimant can obtain such an assessment from their own physician and submit this. Fat freindly doctor and Cha Ching! If you are planning on filing for disability based on obesity alone, you should ask your physician to fill out an RFC for you, or you may be asked to attend a consultative exam (CE) with a social security doctor, who will assess your impairment and the extent to which it limits your physical activity.

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In the case of morbid obesity, an RFC will most likely be required by the disability examiner evaluating your claim, and it’s better to have the form completed by your own Fat Friendly treating physician than one that works for the social security administration (SSA).

Note: an RFC form is freely available from this site and can be downloaded at the bottom of the homepage for http://www.disabilitysecrets.com

Just take in the majesty of this man and all other gluttonous fatlings. If some fat phobic jock or some Goody Two Shoes like anorexic kill joy MeMe Roth complain that tax dollars are being spent to accommodate simply say to them, “Shut the fuck up douche bag!” I knew Kate Harding was good for something.

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Fat Bastard Being Fat and Majestic!

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Obligatory Sexy Porkable Poker.

Afternoon delight is about ice cream and man cream. I love it. When they don’t have to work they have plenty of time to play. There are millions of these hot sexy SSBBWs waiting at home for a fat admirer to deliver the sausage.

>Dom Deluise Defiant in Death

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>I always loved Dom Deluise! Over the past 15 years Dom has dealt with addiction to prescription drugs, hip replacement surgery, heart disease and diabetes. But now he feels completely at peace with his cancer and food induced death.” But a cancer specialist insists there is hope for the funnyman, telling the Bigger Fatter Blog, “If caught early, before it spreads to the surrounding lymph nodes, (penile cancer) is highly treatable.” Despite his life threatening health problems and warnings from medical professionals Dom Deluise has defiantly dashed doctors’ advice to eat healthy and has instead continues his glorious gaining, gormandizing and greedy gluttony. We at Bigger Fatter Blog salute Dom Deluise, a truly brave and gloriously greedy glutton. Will Dom Deluise heed the advice of doting doctors?

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Delightfully defiant Dom Deluise happily tells the fat haters to go fuck themselves as he greedily stuffs his fat fat face with gastronomic goodies. According to an unnamed source, the rotund comic has less than three months to live. That source further revealed to Bigger Fatter Blog, “Dom is dying-but he’s still eating pasta by the vat.” Another source revealed told Bigger Fatter Blog, His breathing is labored and his heartbeat is erratic. But he still won’t stop eating.” Doctors thought Dom would recover form his testicular and penile cancer but claim his unwillingness to control his eating is making recovery impossible. Dom certainly could stop his gluttonous ways but great food is a better payoff than 10 or 15 more years of life. As our immortal Teddy Bear put it, “Death by gluttony is a better way to die than from anorexia.” That is SOOOOOOOOO true I now tell all my feedees that.

Burt Reynolds is said of Deluise, “He’s not even trying to get well now. He’s eating everything he wants and then some. He’s decided to go out on his terms.” That is truly inspiring.

Dom Deluise has always been a hero to those of us in the new fat acceptance movement for decades. He laughs in the face of certain death as he stuffs his fabulous fat face in his way of paying homage to our belly God. We at Bigger Fatter Blog will not mourn his death, we will celebrate his life and his love and lust for food. Like other fat funny men like Chris Farley, Jackie Gleason and John Candy, Dom Deluise is and will remain fondly regarded as a fabulously fat and funny food slut.

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Pictured here with fellow friend and fatty Chef Paul Prudhome, Dom joyfully shows off an appetizer that he and the portly Prudhome created. Dom not only enjoyed fattening food he created it for other to enjoy. My only regret is that Dom never had his own cooking show. It would have been outstanding.

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Yes Dom, your glorious gourmet dishes have made many a glutton and non-glutton feel better and we thank you for that. When one of my feedee could not take “one more bite” one of your recipes would rev up her appetite to near ravenous levels. As you head for the great restaurant in the sky rest assured that your legend will live on.

>Is Obama A Fat Admirer?

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>I spend a lot of time talking to other fat admirers and we all agree that we would like to hit that fine booty on our new first lady. Yeah I get it. She is not even obese but she certainly is over weight and she sure got back.

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Baby got back!

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Yowza! Yowza!

I voted for Obama. Fat Bastard thought McCain was the fat friendliest candidate but he is now able to appreciate the fact that our new president likes his ladies thick. That is a good start. There will be a whole lot of wining and dining at the White House and I am hoping all those good eats will plump up our lovely first lady. Cindy McCain would have been a huge disappointment. We feeders don’t want to see some aging anorexic drug addicted Barbie doll like Stepford wife Cindy McCain.
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Get off the crack honey and eat something!

McCain must like his women skinny. He tossed away hid first wife for gaining only a few pounds. They say Irishmen have small dicks. Perhaps he likes his women skinny so that his dick will look bigger. I don’t think Barack suffers from small penis syndrome. He sort of reminds me of Enzyte spokesman Smilin Bob.https://i2.wp.com/chicagolandgolf.com/blog1/wp-content/uploads/2008/02/bob-174x201.jpg https://i1.wp.com/i196.photobucket.com/albums/aa181/Okieboy_1/obamaSmiles.jpg

They both have that generous swelling of pride but I would guess that a fine alpha male like Barack doesn’t need any Enzyte. Most of us feeders and fat admirers are not lacking in the meat department. Obama is a confident man and don’t think he is going to go crazy with the president’s council on physical fitness or ask his Surgeon General to ban all the fattening foods BBWs love so much.

America’s fatlings will be A OK with President Obama. He has Michelle and she a buxom beauty with a bodacious booty that will grow even faster than the economic recovery Barack has planned. America is now in fat friendly hands.

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