Nutrition author and MD David Katz on weight stigma at the doctor’s office (emphasis mine):
I have long joked, ruefully, that a judgmental approach to obesity by doctors has done nothing to help with weight control, but has made patients feel about an inch tall. Reduce height without changing weight, and body mass index actually goes up, even as self-esteem goes down. …
I have seen many patients over the years with antipathies and aversions to all of medicine for the beratings they have suffered because of nothing more meaningful than a surplus of pounds. Frankly, whoever first mistook a bathroom scale as a device for measuring human worth should be tried and convicted of crimes against humanity.
I’ve written about the disturbing reason BMI is predictive before, and I am personally very familiar with avoiding health screenings while fat. In fact, Katz’s grandmother died in her 50s as a result of breast cancer that was too advanced by the time she got over her fear of harassment of her weight.
Katz suggests seeking out an “enlightened clinician.” Good luck finding one of those. Perhaps we need a registry like the paleo folks have?