Understanding Obesity

Obesity is often shrouded in misunderstanding, with stigma and judgment clouding perceptions of this complex condition. Lisa Schaffer, executive director of Obesity Canada, addressed these issues during her presentation at Benefits Canada’s 2025 Chronic Disease at Work conference, which was notably supported by Eli Lilly Canada.

Obesity as a Chronic Disease

According to Schaffer, obesity is not merely a personal struggle; it is a progressive and chronic disease associated with over 200 health complications. Alarmingly, nearly one in three Canadians is affected by obesity, which is characterized by an abnormal or excessive accumulation of body fat that poses significant health risks.

The Importance of Empathy in Treatment

Traditionally, obesity treatments have been fraught with harmful narratives that emphasize personal willpower and lifestyle choices rather than a scientific understanding of weight regulation. Schaffer highlighted the necessity of approaching obesity with empathy, turning the focus to evidence-based solutions rather than blame.

Economic Burden of Obesity

A recent report from Obesity Canada emphasizes the dire consequences of inaction regarding obesity, revealing that the economic burden has soared to more than $27 billion, encompassing both healthcare costs and indirect costs that are three times greater. Schaffer pointed out that if obesity is recognized and treated as a primary condition, it could alleviate the subsequent development of numerous other health issues and reduce overall costs.

Access to Treatments

Unfortunately, the perception of obesity as a self-inflicted problem leads to inadequate access to effective interventions provided by government and private health plans. Currently, less than 20% of Canadians with private drug plans have access to obesity medications, and no provincial or territorial programs in Canada include coverage for these essential drugs.

Social and Psychological Impact

Moreover, obesity not only impacts physical health but also carries social and psychological repercussions. Schaffer noted that weight bias significantly affects those with obesity throughout their employment journey—from hiring biases to lower compensation and even termination. Women, in particular, bear the brunt of this discrimination, facing a staggering 16-fold increase in the likelihood of being treated unfairly compared to their male counterparts. This discrimination often results in higher rates of absenteeism and presenteeism among women and contributes to lower earnings and reduced workforce participation.

Creating an Inclusive Work Environment

Schaffer has called for businesses and plan sponsors to create more inclusive work environments. She urged them to evaluate their facilities, programs, and policies, and to educate their workforce about the realities of obesity. Additionally, advocating for accessible obesity care and working to combat weight bias and stigma are essential steps toward fostering healthier workplaces.

Conclusion

The conversation around obesity is evolving, and with a continued focus on empathy and understanding, there's hope for improving health outcomes for millions of Canadians.