Search Results for: Vanity Fair

Radhika Jones, Meet Condescending and Nasty

Incoming Vanity Fair editor Radhika Jones at the 2016 gala for Time Magazine's Most Influential People In The World. (Kevin Mazur/Getty Images for Time)

Did you know that generations of writers at other publishers have referred to Conde Nast as “Condescending and Nasty”?

I learned of this in the wake of Women’s Wear Daily publishing what appeared to be a gossip item gleaned through eavesdropping, about Condé Nast fashion editors being catty about incoming editor-in-chief Radhika Jones. According to WWD, “one of the company’s fashion editors in candid conversation with industry peers” said some pretty predictable and mean things about the outfit Jones wore to her first meeting.

Let me pause here to acknowledge a few things. First, my love of Vanity Fair is well-documented in the hallowed pages of this website that you are reading. It is a magazine for rich people, which is a thing I will never be, and yet they cannot stop me reading it! Even though he never responds to my emails, I am Graydon Carter’s biggest fan, and not just because he made my ex-boyfriend cry. I love Vanity Fair and I am so excited Radhika Jones is going to lead it.

Everyone is excited about Jones. I mean, I guess besides this one Condescending and Nasty fashion person. Even the tone of the WWD gossip item was Team Radhika. WWD, arguably a women’s fashion publication (it’s in the name, please don’t actually argue with me), thought it was eye-roll-inducing for this fashion person to be mean at the water cooler about Jones’ cartoon-fox-printed tights and “navy shiftdress strewn with zippers.”

I’m sure many of you disagree. I have had way more conversations than I anticipated about this piece this morning already and lots of people are mad at WWD for publishing the piece at all, and for not calling out the cattiness more overtly. Jones’ New York Times colleague Jodi Kantor tweeted, “So this is the way our brilliant colleague who just shot the moon gets written about.”

I understand that. It’s frustrating. I anticipate being called whatever the media equivalent of a Nazi apologist is for this, but: the WWD is actually a pretty mild introduction to what Jones will receive going forward, particularly as the first female (and non-white) Graydon Carter, and it’s not much different than what you could find in the pages of Vanity Fair for years. If Jones changes that, great. If not, the WWD is a relatively light taste of what she’ll be approving in that magazine going forward.

Why do I dare call it mild? Because the WWD piece is on her side. It is very, very obviously Team Radhika. Lots of people have told me they think it should be more overt, less subtle. I have a strong, steadfast love for subtlety. When I wrote recently about my time at DNAinfo, I told you all that one of the things we believed was that you didn’t have to talk down to readers, you could give them the facts, and some good quotes, and they didn’t need to be explicitly told something, or someone was bad. You could show, instead of tell, that the Manhattan Community Board 2 liquor license committee frequently operated in a way that was arbitrary and capricious, for example.

I undersold the fact that there’s a little bit of an art to that, to how the facts and the quotes are laid out. So let’s look at the WWD piece.

I would argue that even the headline’s specifying “personal” style is already a point for Jones, signaling that the critics to come are picking at something that has nothing to do with Jones’ new job. The sub-headline is solely about Jones’ “extensive literary and editorial experience.”

The second paragraph immediately lays out Jones’ credentials — and does so in a way that signals great disdain for what the Condescending and Nasties chose to pay attention to:

But while Jones may have been editorial director of the books department at The New York Times, an alum of Time magazine and The Paris Review, a graduate of Harvard and holds a doctorate in English and comparative literature from Columbia — none of this impressed Condé Nast-ers. They, instead, were aghast over her sense of style.

The next paragraph reinforces that, noting that Jones’ critic was “remarking not on the context of Jones’ first visit, but rather the outfit she wore.” PRIORITIES, WWD is silently screaming here.

And the next one employs em-dashes to emphasize that point:

According to the fashion editor — who omitted Jones’ admirable literary accomplishments from conversation — the incoming editor wore a navy shiftdress strewn with zippers, a garment deemed as “iffy” at best.

The closing paragraph, to me, is the prizewinner:

The fashion editor did not remark on Carter’s outfit for the occasion. After 25 years at Vanity Fair’s helm, he walks away from the job with a vibrant legacy that is noted, not for his signature wonk hairstyle, but rather his wrangling of A-list celebrities and publishing of writers including Christopher Hitchens and Dominick Dunne.

A friend of mine said that while she is Team Radhika, it might be fair for the Condé Nasties to judge Jones’ outfit, since the magazine is very much part of the “high fashion” world. I understand this point, but would note that Vanity Fair‘s pages have long been filled with ball gowns, and to my (expert) knowledge, Graydon Carter never wore one to a meeting. We can trust that Jones, with her years of editorial experience and impressive education, knows her strengths and less-strengths. Ideally, somewhere in the dark, catty world of fashion, she will be able to find someone to lead that part of the magazine who has savvy, creativity and heart.

In the meantime: Radhika, please email me and tell me where you got the dress and tights WWD described because I desperately want them.

Cast by Chronic Illness Into a Limiting Role

Illustration by Giselle Potter

Maris Kreizman | Longreads | November 2017 | 10 minutes (2,462 words)

 

In junior high, I had my heart set on attending a famous performing arts sleep-away camp in upstate New York. All I’d ever wanted from the time I was 4 and saw a local production of Oliver! was to be a Broadway star. I could barely contain my jealousy of all the child actors who were making it big in musical theater that year, 1990: the orphans of Les Miz, the orphans of The Secret Garden, the orphans of Annie. I had the talent to be an orphan too! I just needed a chance to go away from home, I reasoned, because very few successful orphan characters are discovered living with their parents.

If only I could attend French Woods, the place where Natasha Lyonne and Zooey Deschanel had spent their summers — a destination for suburban preteens on the East Coast who had Broadway ambitions, kids who perhaps idolized Bernadette Peters (me) and had strong opinions about Andrew Lloyd Weber’s early work (also me). I had always fit in just fine in my New Jersey town, but I knew I would find my people at French Woods.

Instead, I found myself at the Clara Barton Camp for girls with diabetes. I wrote my parents a “please come pick me up or I will die” letter after my first night.

Read more…

“No Fatties”: When Health Care Hurts

Illustration by Hannah Perry

Carey Purcell  |  Longreads  |  October 2017  | 4280 words (16 minutes)

Kasey Smith began gaining weight as a teenager. The numbers on the scale started increasing overnight, and no matter how few calories she consumed, they continued to go up. “It will even out,” she thought, crediting the change to puberty and hormones. But it didn’t, and her hair and skin began changing as well. “Something was definitely wrong.”

Each medical appointment, and there were many, concluded with doctors telling her to go on a diet. Smith (not her real name) remembers telling the endocrinologist about her frustrations with burning off the 900 calories she consumed each day and still gaining weight. “He looked at me and said, ‘Maybe you can cut back your McDonald’s to twice a week.’ I was stunned silent, and I went into the bathroom and broke down. ‘He doesn’t believe me. He thinks I’m just fucking with him.’”

As Smith’s weight went up, her food intake went down. Her mother signed her up for Nutrisystem, and her diet hung on the fridge for everyone in her family to see. Shame and humiliation narrowed her life down to three questions: what to eat, what not to eat, and how to burn more calories. She began to form dangerous habits, sometimes eating little more than lettuce.

Smith ultimately received a diagnosis of polycystic ovary syndrome, a hormonal disorder that can lead to excess male hormones, irregular menstrual cycles, and weight gain. She was prescribed Metformin and quickly began to lose weight, but the damage had been done. The 18-year-old developed anorexia, leaving for college at 130 pounds and coming back four months later and 30 pounds lighter, her hair falling out in clumps.

No one thought anything was wrong.

“I would go to the doctor, and there were no red flags. It was ‘You look fantastic!’ Not ‘This is alarming.’” Smith continued starving herself for another year until she ended up in the hospital, undergoing a colectomy to remove a foot and a half of her intestines, which had twisted as a result of her severe calorie restriction.

One year after the surgery, her worst nightmare returned: She was gaining weight. Celiac disease was the cause this time, but it wasn’t diagnosed until after Smith was in the habit of purging the little food she ate every day. She would regularly run in the park and pass out afterward. “I would starve all day, then I’d eat something at night, then I would purge it. In my head, I’m thinking, ‘I’m literally not consuming anything. The weight has to fall off.’”

She realized she needed professional help, and Smith found a therapist who specialized in eating disorders and began treatment at The Renfrew Center, a residential facility in Pennsylvania. She continues to struggle with discussing her weight at medical appointments. After she told her endocrinologist about her treatment at Renfrew, his reply was “I see you need to lose some weight.”

* * *

According to the National Association to Advance Fat Acceptance, one out of three doctors responds to obesity negatively and associates it with poor hygiene, hostility, dishonesty, and noncompliance, viewing fat patients as “lazy, lacking in self-control, non-compliant, unintelligent, weak-willed and dishonest.”

“Doctors may think they are doing their jobs by focusing on patients’ weights,” said Dr. Rebecca Puhl, deputy director of the Rudd Center for Food Policy and Obesity. But the effects of weight discrimination, both physical and mental, can be harmful to patients. “I do see this in health providers just as much as the general population, which is that maybe stigma isn’t such a bad thing. Maybe it will motivate people to lose weight. Maybe it will provide incentives for weight loss. But that is not what we see in research. We see the opposite — that in fact, stigmatizing people about their weight actually reinforces behaviors in health that increase body weight and obesity.”

The doctor looked at me and said, ‘Maybe you can cut back your McDonald’s to twice a week.’

As weight discrimination has increased in recent years — roughly 40 percent of adults report having experienced some form of weight stigma — so have obesity rates. A positive correlation between experiencing weight bias and developing eating disorders has been documented, and two studies have reported that overweight children are more likely to binge after being teased about their weight. Nor do these habits change as we age. In a 2006 study of more than 2,000 overweight and obese women who were part of a weight loss support group, 79 percent said they turned to food after experiencing weight stigma. Another common response: refusing to diet.

Johanna Tan encountered that stigma when she gained 80 pounds in three months after beginning the hormonal birth control Depo-Provera. Her doctor suggested weight loss, and she chose a weight loss clinic. In the weeks after undergoing her doctor-mediated diet of 500 to 800 calories a day, Tan began experiencing episodes of chest pain so severe she made more than one trip to the emergency room. Her general practitioner blamed her symptoms on her large breasts. “Never mind that my boobs have always been this big, and this was a new symptom,” Tan said, laughing wryly as she explained she had been performing special exercises and getting massage treatments to help ease the symptoms. But it wasn’t her breasts that were causing the pain, it was her gallbladder. Gallstones had blocked her common bile duct, and if left untreated it could cause acute liver failure. The cause of the gallstones? Rapid weight loss. Neither Tan’s weight gain nor her loss had been correctly assessed by her doctors. (Depo-Provera lists weight gain as a common side effect. When Tan voiced concerns to one doctor, she was told, “Everyone gets more hungry. You just need to not eat more.”)

The assumption that any health issues a fat person experiences can be chalked up to weight has not gone unnoticed by the fat community. Marilyn Wann was motivated to pursue fat activism after what she describes as her Really Bad Day, when a man she was dating told her he was embarrassed to introduce her to his friends because of her weight, and she was denied health insurance because Blue Shield of California deemed her morbidly obese.

“This double whammy of social and institutional exclusion based on my weight woke me up,” she said. “Until then, I had hoped to avoid the impact of anti-fat attitudes by avoiding the whole topic. But hiding and silence and avoidance didn’t keep the yuck from finding me. So I recognized that I had to come out as a fat person. The next day, I went to a copy store and made up business cards for my new print zine, which I decided to call FAT!SO? — ‘For People Who Don’t Apologize for Their Size!’ Immediately, my life became less stressful. Of course, I still encounter anti-fat attitudes and weight-based exclusions, but I have drawn a line between me and the hatefulness. It makes a huge difference.”

Wann still experiences bias, especially at the doctor. “I know before I enter the door that the whole system prioritizes its prejudice over my well-being,” she said. “The prejudice is what’s necessary to the institution as it stands. The medical establishment, the insurance agencies, public health agencies that are government-based have always advanced their agenda on the back of fat people. … The institutions of our supposed health systems — in the government agencies, in the insurance companies, in all of the medical practices — are saturated or have deeply ingrained anti-fat bigotry.”

Establishing the balance of information and compassion while discussing a patient’s weight is constantly on Rebecca Zuckerman’s mind. “It puts medical professionals in a weird catch-22,” said Zuckerman, a fourth-year medical student at the Pritzker School of Medicine at the University of Chicago, who understands the motivation of fat activists but whose education includes the negative medical impacts of obesity. “It’s something I’ve struggled with personally. You can only explain it and tell people their options. You can ask if it’s OK to talk about weight loss or give more information. If they say, ‘No, I don’t want to hear it,’ you have to respect that.”

Still, the intense schedule of medical professionals, who are often allotted only 15 to 20 minutes per patient, often results in less-than-ideal communication. It’s easier to reach for the quickest conclusion: telling the patient to lose weight. Says Zuckerman, “A lot of doctors and nurses experience burnout, and they start losing empathy and don’t view the patients as people anymore. Your hands are tied to stay within those 20 minutes. Everyone’s trying to make more money, and the doctors are a cog in the wheel.”

That’s along with pervasive stereotyping about fat people in the medical community. In a study of 318 family physicians, two-thirds reported that their obese patients lacked self-control, and 39 percent stated that their obese patients were lazy. Even health care professionals specializing in nutrition thought poorly of their obese patients: “Attitudes toward obesity and the obese among professionals,” a study in the Journal of the American Dietetic Association, reports that 87 percent of health care professionals specializing in nutrition believe that obese persons are indulgent, 74 percent believe that they have family problems, and 32 percent believe that they lack willpower. In 2013, the American Medical Association labeled obesity a disease.

The misdiagnoses that occur lead directly to poor health outcomes. Johanna Tan ultimately spent three years in pain, leading to four weeks of hospitalization, a series of invasive surgical procedures, and lengthy rehab — procedures that wouldn’t have been necessary had the gallstones been caught earlier. While she was enduring severe pain following her first surgery and struggling to complete her postsurgical rehab, the hospital staff accused her of being lazy. “I spent two weeks in hospital post-surgery,” she said, “copping abuse for being lazy and not participating in my own rehab, before they realized they fucked up.” Tan said the nurses were condescending, saying, “I know it hurts. It’s major surgery. You still have to get up.” The pain didn’t ease until her doctors realized they had missed some gallstones and had to perform a second surgery. Tan wasn’t able to walk more than 10 feet at a time for the first month following her surgeries. It took six months for her to be able to walk further than a block.

* * *

Fat patients also often find themselves facing off with doctors who refuse to write prescriptions or referrals until patients lose an arbitrary amount of weight, a common scenario for those seeking joint replacement surgery. Despite being in “crazy amounts of pain,” Melinda Belles-Preston was required to lose 30 pounds before receiving an operation on her hips. Losing between one and two pounds a week, a healthy pace according to the Centers for Disease Control, would delay her surgery by several months. Heavier patients see longer lags. A required loss of 50 to 100 pounds can postpone a procedure for months or even years unless the patient undergoes weight loss surgery. Without surgery, the time spent in pain is prolonged, opening the door to painkiller dependence. It took Belles-Preston roughly six months to lose the weight, and she was in pain the entire time.

“Going in nutrient-deprived and starved is probably not a good way to send someone into heart surgery or major any surgery,” Wann said; her tone made it clear she was stating what she thought should be obvious. “Someone who’s been losing weight may have worse outcomes than someone who’s stayed the same weight. … It’s amazing how someone can just look at you and decide how a random number of pounds can shift you from someone who doesn’t deserve care to someone who does.”

Pain management was barely discussed when Virgie Tovar, activist and author of Hot & Heavy: Fierce Fat Girls on Life, Love & Fashion, went to the doctor after being injured on an amusement park ride. Suffering what she described as “debilitating back spasms” that made movement “electrifyingly painful,” she was told she had to lose weight before anything could be done for her. “It was like this dogged commitment to not helping me until I was at a different weight,” she recalled. “Let’s say I lose weight at what is considered a normal pace that doesn’t endanger a person’s life. For me to get to the weight you’re talking about is like 10 years. So I just get to be in pain until I’m at that weight. And if I’m still in pain after a decade of weight loss, then you’ll think about taking care of this?”

Ideally, preventive care helps patients avoid catastrophic health problems, but it’s not always accessible to fat patients, whether because of issues with doctors, issues with technology, or both. Fat patients have been refused medical screenings, such as Pap smears, mammograms, and colonoscopies, that are considered routine and vital for thin patients. The American Cancer Society advises women to get mammograms yearly beginning at age 45 and colonoscopies every 10 years beginning at age 50, but fat people often struggle to find facilities that will perform the screenings and are told they cannot fit in the machines.

A required loss of 50 to 100 pounds can postpone a procedure for months or even years… It took Belles-Preston roughly six months to lose the weight, and she was in pain the entire time.

The importance of an MRI comes from its ability to provide higher-quality images. But the machines that provide those images are small, and other options, like CAT scans or ultrasound, don’t provide a comparable alternative. “All those scans need to penetrate the body to create an image. If a body is larger and has more fat tissue to penetrate, the image quality is poorer and blurrier, and it’s harder to make out structures,” Zuckerman explained. “It’s harder for skilled radiologists to diagnose things in patients who are larger for that reason. … The fact is, MRI machines are tiny. Some people literally cannot fit in them. So we do something else like an ultrasound or CT that is not quite as good. It’s better than nothing, but it doesn’t give us the image quality that an MRI does. You run the risk of missing something because the picture that you’re getting is not clear.”

The need for hospital equipment that can accommodate fat people has grown, and imaging devices are now available. This equipment is not available everywhere, however, and sometimes patients are referred to their local zoos. When Wann called the San Francisco Zoo’s medical department to ask about accessing its technology, the person on the phone sighed and said, “I wish people would stop saying that,” referring to requests to use the department’s CT and MRI scanners. While vet schools and zoos have larger-capacity devices, they can’t allow human subjects, and scanning humans in machines intended for animal subjects is banned by formal policies in most facilities. “That’s really beyond their certification,” explained Wann. They’re not licensed as an institution to practice medicine on people. Their entire institutional certification is being put on the line because our human medical system refuses to accommodate people above a certain size. It draws an arbitrary line and says, ‘Go beyond this line, and they’re monsters.’”

Without being properly screened, patients can’t be diagnosed. A 2008 review of previously published studies, 32 in total, reported that white, female, obese patients were less likely to be screened for breast and cervical cancer. A study from 2006 reported that only 68 percent of women with a BMI of greater than 55 were given Pap tests, while 86 percent of other women were tested.

In some cases, this is a result of fat patients opting out of health care entirely, even if they otherwise have the ability to access health care facilities and are insured: According to the International Journal of Obesity, 19 percent of participants reported that if they felt stigmatized about their weight by their doctor, they would avoid future medical appointments, and 21 percent said they would seek a new doctor.

“Fat people don’t go to the doctor often. They tend to avoid it,” writer and activist Kitty Stryker said. “A lot of fat people are ashamed of being naked. They don’t want to be touched. When I say I have a lower-back problem, I know they’re going to say, ‘Lose some weight, and that will go away.’ So what’s the point? Why bother continuing to try to get to the root of my health problems when I know the only thing they will ever tell me is ‘Lose weight’?”


Kickstart your weekend reading by getting the week’s best Longreads delivered to your inbox every Friday afternoon.

Sign up


Patients often face added risk beyond concerns of being dismissed or the necessary treatment being denied: the possibility of weight loss treatments and procedures being strenuously suggested at inopportune or irrelevant moments. While the American Academy of Family Physicians recommends screening for obesity along with monthly sessions of counseling and behavioral interventions, the timing of these suggestions is crucial to the impact of motivational interviewing — and execution is often poor. Tan was mid-Pap smear when her doctor asked if she wanted a Weight Watchers pamphlet.

“The speculum’s already in and open. And she says, ‘I can tell you’re getting upset. Do you want me to continue?’” Tan recalled in disbelief. “I said yes because I didn’t want to have to make another appointment for my Pap smear. I was so mad, I was crying at this point. I couldn’t move. I couldn’t yell. She said, ‘I can tell I’ve made you upset, but weight is a serious issue.’”

Although familiar with the prejudice that came with her weight, Belles-Preston was still shocked when her general practitioner recommended weight loss surgery — while she was pregnant. “I walked out of the room. It was so incredibly offensive to me. I’m coming to you for medical advice about my pregnancy, and you’re talking to me about weight loss surgery, which is the furthest thing from my mind.”

“I have tons of resources and attitudes for confronting this kind of stuff, and it can still kill me,” Wann said as I marveled at her calm approach to discussing prejudice so severe it can result in death. “I understand not going [to the doctor]. I think it’s self-protective to some extent.… Every time I go to any kind of medical appointment I anticipate facing weight bias. I anticipate being denied the sort of services thin people would receive with no problem or being targeted for weight-based treatments that I don’t want and could harm me. I’m not interested in stomach amputation or stomach squeezing. I don’t think those are therapeutic practices in any sense. Every time I go see a doctor I’m aware they may casually say the only thing they want me to do is have my stomach cut off.”

* * *

The effects of that bias were traumatizing and long-lasting for Tan. Triggered by her uncomfortable experiences in hospital environments, Tan’s first job as an audiologist after graduate school provoked frequent panic attacks because of its location at a hospital. “I used to have to go to work early so that I could tamp down the panic associated with being in a hospital at all,” she said. “This fear of hospitals hasn’t quite gone away. Most recently, a few months ago, we had to spend a few days in ICU as my partner’s dad passed, and just being back in ICU rattled me so badly it was a month before I could stop popping several Valium a day.”

It was the adversarial relationship she had developed with doctors and nurses that contributed to Tan’s panic. And she’s not alone. For many, thin means healthy and fat means unhealthy. So small and slender equates with good health and is encouraged by medical providers, often resulting in strained relationships with their patients.

The idea that the lower the weight, the healthier the person, escalated into life-threatening conditions for Smith, who was frequently complimented on how healthy she looked while she was starving herself. “When you’re restricting [calories] you can brag about it,” she said, recalling her preparation for the colectomy. “[Doctors] asked, ‘Are you eating well and exercising?’ I said, ‘I’m very healthy. I exercise all the time. I only eat vegetables.’ It’s a funny dichotomy. Just because the scale is low does not mean that you’re healthy. A lot of doctors forget to be careful of that.”

But as the number on the scale climbs, the less flattering characteristics — greed, lack of control, messiness, lack of self-care, laziness, automatic unhealthiness — are associated with fat people, only to be furthered by the media’s portrayal of fat characters, who are typically the butt of jokes or seen as slovenly and undesirable. Women are often the punch lines, much more than men. BMI standards also are more harsh for women than for men, which is apparent in the statistics regarding weight loss surgery: Obesity rates in America are split fifty-fifty between genders, but 80 percent of bariatric surgeries are performed on women. In a 2014 study from Kansas State University, 72.8 percent to 94 percent of overweight and obese men were satisfied with their health as compared with 56.7 percent to 85 percent of overweight and obese women. There’s a reason all the stories and sources here are about and told by women.

“The truth is that there are reasons why fit people live longer, better lives,” Tovar said. “It’s because the entire culture is constructed to benefit them.” Weight discrimination is associated with an increase in mortality risk of nearly 60 percent for both women and men.

Fat activists are working to provide recourse at the community level; patients share the names of fat-friendly doctors or establishments, and Wann uses her social networks to help people get referrals for doctors and other medical providers. She also assists people with planning responses to doctors and providers who inflict weight bias. Fat activist Stef Maruch maintains a list of doctors who do not inflict bias or are fat positive, and Wann encourages people to update it whenever they can. NAAFA also publishes brochures and tool kits to assist fat people in navigating bias and fighting anti-fat legislation. A monthly newsletter updates recipients with the latest research and provides referrals to practical tools like products made for people of size. After Hurricane Harvey devastated Texas, NAAFA released a special-edition newsletter and sent plus-size clothing and supplies.

Obesity rates in America are split fifty-fifty between genders, but 80 percent of bariatric surgeries are performed on women.

The organization has also updated the brochure it gives health care providers treating fat patients. It was last updated in 2011, and per the recommendation of one of NAAFA’s advisers, its language is being revised to be much more aggressive when discussing weight bias with medical professionals. “Up until this point we’ve been trying to inform and be a little bit gentle,” explained Peggy Howell, NAAFA’s vice chairman and public relations director, citing the research scientists, Ph.D.s, and professors in medicine, law, nutrition, social work and more who serve on NAAFA’s advisory board. “The advisers came back and said, ‘I think we need to take a different approach. I think we need to be more assertive about this. There are lots of studies that support that this bias does more harm than good to the patients.’” The nonprofit’s 2011 brochure states, “NAAFA is working to help ensure that health care providers provide the best possible care by keeping in mind the special needs of their fat patients.” The new brochure reads, “We currently live in an environment that stigmatizes anyone who does not meet the aesthetic or medically defined categories of an ‘attractive’ or ‘healthy’ weight… [it] creates and sustains fat phobia and oppression, which includes weight bias, prejudice, stigma, discrimination, bullying, violence, and cultural imperialism. … Sometimes the internalized biases of health care providers directly contribute to further stigmatization of fat people.”

There is some movement on the medical end as well, driven by health care providers seeking training and resources. The Rudd Center has developed educational videos, which have been tested and found to reduce weight bias. Viewing the two 17-minute films — “Weight Prejudice: Myths and Facts” and “Weight Bias in Health Care” — resulted in improvement in attitudes toward obese people. The Rudd Center has also created a media repository of 400-plus photos and more than 80 B-roll videos that portray children and adults with obesity in non-stigmatizing ways, intended as a resource of respectful, rather than stereotypical, images for the media as well as scientists and health professionals to use when making educational presentations.

“We’ve created online courses and all different kinds of resources to use to try to increase awareness about this issue and educate providers that this is more than a social justice issue,” Puhl said. “This is a full public health issue. The stigma is making their patients’ health worse.”

For many fat people, the response is too little, too late. “I would rather doctors have signs on their door saying, ‘I don’t treat fat people,’” Wann said. “It would save everyone time and money if they had a sign on their door that said, ‘No fatties.’ At least they would be honest and own their bias.”

***

Carey Purcell is a New-York based writer who covers culture, politics and current events from a feminist perspective. She has been published in The New York Times, Vanity Fair, Politico and other publications. She has been a featured guest on AM Joy and Good Morning America, and her writing can be read at CareyPurcell.com.

***

Editor: Michelle Weber
Illustrator: Hannah Perry
Fact checker: Matt Giles
Copy-editor: Sylvia Tan

Wives, Queens, and Other Comedy Heroes: A Reading List

(Rex Features via AP Images)

Honestly, I thought I was handling the Trump presidency okay. At least I wasn’t crying every day. I realize that not crying every day isn’t much of a litmus test. But when Trump codified his transgender military ban, I could no longer deny that I was struggling in other subtle and sinister ways: “I have to sleep more than nine hours a day or I cannot function physically,” or “My finances are shot because I don’t have the will to work and provide for a future that may or may not come to fruition.”

Of course, this is what fascists want for someone like me. They want me fatigued, struggling mentally, and hopeless. They don’t want me alive. Logically then, I should fight really, really, hard to thrive. I am trying, when I sit here to write for the first time in almost two months. I am trying, whenever I bring myself to get out of bed before noon, when I cook for myself. I am trying to imagine a fascism-free future. I am trying to imagine a future where evangelical Christians don’t take time out of serving the poor to disparage and damn the marginalized and their allies. I document the moments I laugh the loudest. I try to be honest with myself and with the people I care for.

Read more…

The Unknowable Diana, 20 Years On: A Reading List

(Princess Diana Archive/Getty Images)

There are two events that can define a separation of generations: Where were you when Princess Diana got married? Where were you when she died?

I was a tiny toddler sitting on my young mom’s lap for the first, an awkward 17-year-old for the second. San Diego’s Starlight Musical Theatre was in the middle of a production of Singin’ in the Rain and my job was to get costumes onto cast members before they hurtled out onstage.

Somehow I learned she was dead during the performance, in the time before widespread cell phones or internet. News spread fast, through the usual backstage channels, in whispers and passed notes. The busy dressing rooms were oddly quiet. People danced off stage and started crying in the wings. Downstairs, near the costume shop, they used the pay phone to find out details from friends.

The world seemed stunned, half silent. But why? Why did we spend the next few days glued to the television and the radio? Why did we leave flowers and sing songs and feel personally affected by a woman few knew and even fewer ever understood? Who was this bashful princess, anyway? This reading list contains a few answers—but 20 years after her death, the enigmatic Diana is harder to grasp than ever.

Read more…

Mourning the Low-Rent, Weirdo-Filled East Village of Old

Jeremiah Moss | Vanishing New York: How a Great City Lost its Soul | Dey Street Books | July 2017 | 28 minutes (6,876 words)

As someone who was evicted from her East Village apartment in 2005 — and who now finds herself worried about losing her place in gentrifying Kingston, New York — I was excited to see that Vanishing New York blogger “Jeremiah Moss” (the pseudonym for psychoanalyst Griffin Hansbury) had a book coming out.

Since 2007, Moss’s blog has catalogued the shuttering of one New York City institution after another, and staged demonstrations (which he himself didn’t attend, for fear of outing himself) to try and save them. Where his blog has tended to focus mainly on the East Village and lower Manhattan, his book, Vanishing New York: How a Great City Lost its Soul, is more comprehensive, looking at the city as a whole, one borough and neighborhood at a time. It traces what he’s labeled today’s “hyper-gentrification” to the Koch era, and explores the problem in historical, economic, sociological, psychological, and personal terms.

Although Moss has been making his living for years as a shrink, he came to the city more than twenty years ago with the hope of becoming a writer. Having garnered glowing endorsements from veteran New York chroniclers like Luc Sante — not to mention the rare earnest blurb from Gary Shteyngart — it seems he’s now truly arrived.

Below, the first chapter, “The East Village.” — Sari Botton, Longreads Essays Editor

* * *
Read more…

Meet ‘The Mooch,’ Your New White House Communications Director

(Jared Siskin/Patrick McMullan via Getty Images)

Anthony Scaramucci is the new White House Communications Director, and like many Trump hires before him, he arrives with a televised history of trashing his new boss. From ThinkProgress:

“I don’t like the way he talks about women, I don’t like the way he talks about our friend Megyn Kelly, and you know what, the politicians don’t want to go at Trump because he’s got a big mouth and because [they’re] afraid he’s going to light them up on Fox News and all these other places,” he said. “But I’m not a politician. Bring it. You’re an inherited money dude from Queens County. Bring it, Donald.”

This was in 2015, a year before the money manager began supporting Trump’s bid for president. But like all Trump hires, there’s almost nothing Scaramucci has said in the past his new boss will hold against him. As White House Communications Director, this is a helpful indicator of how reliable their future statements will be, too.

Read more…

The Making of ‘Meatballs’: Is Bill Murray Even Going to Show Up?

(Paramount/Getty Images)

Ivan Reitman and his crew didn’t have a solid script for the screwball 1979 summer camp comedy Meatballs. They didn’t have Bill Murray. They had a few months to film, and most of the camps they asked to use as sets thought they were nuts. Yet the movie they made stands as one of Hollywood’s enduring comedies, a surprisingly sensitive look at one teenager’s rite of passage through summer camp. At Vanity Fair, the always spicy Eric Spitznagel talks with cast and crew in a revealing oral history of the making of Meatballs. As they say in the movie, “Are you ready for the summer?”

Goldberg: We had our cast, but there was still the matter of Bill [Murray]. “Is Bill going to do it? Will he show up?” I didn’t know if he ever read the script. Then he kind of committed, but not really. Three days before we start shooting, we have no idea if it’s going to happen.

Banham: Dan Aykroyd was supposed to play the part. That’s what I heard. And that’s what we all believed. Most of us in the cast, we would talk about it. “Can you believe we’re in a movie with Dan Aykroyd?” Everybody knew who Dan Aykroyd was. And then we show up for the movie, and there’s Bill Murray. And we’re like, [deflated] “Oh. It’s the new guy from S.N.L. [Sighs] O.K.”

Blum: Bill turned up in this Hawaiian shirt and red shorts, wearing an alarm clock on his wrist, which eventually found its way into the film.

Reitman: I remember how amazing he was that first day he showed up. I handed him the script—I think it was the first time he was reading it—he flipped through it and said, “Eh.” And he very theatrically threw it into a nearby trash can. [Laughs] That’s kind of terrifying to see an actor do that just minutes before you’re going to shoot your first scene with him.

Read the story

Meatballs: An Oral History

Longreads Pick

Vanity Fair talks to members of the cast and crew who created one of America’s cult comedies, and Bill Murray’s breakout film, to see what happened on and off camera that fateful summer of 1978.

Source: Vanity Fair
Published: Jul 6, 2017
Length: 15 minutes (3,938 words)

The Top 5 Longreads of the Week

This week, we’re sharing stories from Katherina Grace Thomas, James Lasdun, Kyle Chayka, Tay Wiles, and Buzz Bissinger.

Sign up to receive this list free every Friday in your inbox. Read more…