Weight Discrimination: Is Your Doctor Guilty?

Weight discrimination comes in many forms. It's unfair, and extremely hurtful, among other things. But it can also be a major problem for many people when it comes to visiting their doctor. We've been hearing from many readers that "doctor discrimination" comes in different forms.

Some people feel they are "blamed" for their excess weight, as the cause of their other physical problems, or not being taken seriously when discussing their interest in losing weight (it's hard!). While the vast majority of physicians and specialists treat all patients respectfully and with dignity, providing optimal care no matter what size package the patient is in - there are enough self-reports of bad experiences and even some research studies documenting that this might be a problem to address. In fact, some studies show that not only physicians, but nurses and dietitians have some negative views about obese patients, ranging from a "lack of willpower and self-control" to "overindulgent and lazy".

So, what to do if you find yourself in a situation where you feel your doctor is judging you negatively because of your weight? Here is a game plan that helps to empower you, and ensure you are receiving the kind of medical care you feel you might be lacking.

1. Talk to your doctor. Yes, I mean have an honest conversation with your doctor about your feelings. You might have been a bit oversensitive (of course - weight is a very sensitive issue!) in a particular situation, and you should point that out. This is especially important if you are happy with your medical care, but uncomfortable from a particular comment. It's good to clear the air - and you might be very surprised to hear that your doctor wants to support you any way possible. Sometimes it's just miscommunication. Sometimes its not - give your doctor the benefit of the doubt, for starters.

2. Switch to another physician in the group. If you are happy with the care from the practice, but not the specific physician in the group, ask your present doctor for a within-group referral to someone who might be a better fit for your needs. This is not "bad form" and is a plus for your doctor, who knows you need to feel more comfortable, and doesn't want you to be unhappy.

3. Ask a friend or family member. You already have a built in network in trusted friends and family. Seek out the advice and physician referral from someone who understands your needs. Make sure this doctor is part of your insurance network before scheduling a visit (a simple call to your insurance company can answer that) to avoid out of pocket expenses.

4. Call your health plan (insurance company) and ask for a specific referral. Call the member services line (on your insurance card), and ask for a referral to a bariatric physician in your network. This is a internist or family medicine physician, with particular interest and training in treating patients with both weight issues, and medical consequences of excess weight. A bariatrician is also a good resource for specialist referrals. (Note: this is NOT the same person as a bariatric surgeon, who specializes in obesity surgery).

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Share your experiences. Have you experienced doctor discrimination? Do you have a beloved physician who has stuck by you through "thick and thin"? We can all learn more about how to manage this very sensitive area. Sadly, many obese people avoid visiting the doctor for just this reason.