?Can we consider obesity a disease

More than a third of U.S. adults have overweight. Obesity is not only a tribute levied waist, and wallets. However, in the recent recommendations of the Institute of Medicine at the "Law on the protection of patients and access to health care", the term "obesity" is not used. It is this document will determine the competence of the health insurance companies.
In other words, obesity was denied the right to be called a disease. Likely to blame this state of ambiguity and lack of evidence-based treatments. However, given what is already known about obesity, including the impact on health, it should recognize the disease, is not it?
The typical definition of the disease mentioned changes in the body that have a negative impact on its structure and function. Obesity not only causes structural changes in human adipose tissue, but also determines how the body is controlled by lipids, insulin, and blood sugar. As a result, fat gets to where it should not be - in muscle, liver, heart and pancreas tissue, preventing the organs.
However, when it comes to health insurance, the focus is not on obesity as an autonomous disease, and the other health problems associated with it. Today, Medicare covers weight loss surgery only in connection with Type II diabetes and several other diseases.
Obesity is caused not only by overeating. At the risk of obesity has a strong genetic component. Family and twin studies have identified 32 genes that are relevant to this condition. And since people get genes and from his mother, and from her father, a man may have 64 bad gene. You can become obese, regardless of how and what you eat and how you live, even if you have one single genetic mutation.
Another well-known factor - a sedentary lifestyle. Where does the boundary between the factors are still unclear. Maybe it stops some experts and policy makers in the field of health, saying that recognition of obesity disease free people from personal responsibility - and they will no longer look after themselves.
Others believe that obesity is a metabolic disorder, and refusal of treatment - discrimination.