--- Deborah Harrell <[EMAIL PROTECTED]> wrote:
> No mention in the article of the fact that exercise
> raises HDL.  Or that avoiding a sedentary lifestyle
> and a diet high in saturated fats would *prevent*
> much
> of the plaque build-up in the first place.  While
> there are inherited forms of hyperlipidemia in which
> the carriers get early, massive arterial plaque no
> matter how 'good' they are [re: nutrition, exercise,
> non-smoking, etc.], the vast majority of Americans
> who
> have clinically significant atherosclerosis do so
> because of poor lifestyle choices.

You know, oddly enough, I'm going to reverse positions
with Debbi here.  I'm going to be the one rejecting
Puritanism, and she can be the one preaching reserve
and self-discipline :-)

In the old days when people tore their ACL, their
doctors told them they should give up tennis.  Now we
get surgery, rehab, and go out and play again.  That
drives up medical costs, but, well, so what?  It's
worth it.

Similarly.  Even working consulting hours, I lift
weights an average of 3 times a week, so I'm not
defending a personal unwillingness to work out here. 
But look, not everyone does enjoy working out.  If
medical technology can now allow people to eat what
they want, participate in the activities they want,
not participate in activities they don't want to
participate in, and they don't die from heart attacks
because of it - that's _great_.  That's what medical
research is _for_.

Finally, the record of behavioral intervention in
lowering cholesterol is so poor, and compliance with
dietary and lifestyle advice is so low (on the order
of 20% in the US - and that's compliance, not success
rates, which are so low it's not even worth talking
about) that really, saying "if only people would act
this way" is wishful thinking.  They don't, there are
a lot of good reasons (and more not so good reasons)
why they don't, and there's exactly no prospect of
that changing.  So if this discovery pans out, it's
going to save a lot of lives and allow a lot of people
to enjoy their lives more.  If that costs money, well,
that's the whole purpose of money, so that's okay. 
Good for those docs :-)

Circling back to a previous discussion, I lay high
odds that they work for a pharma company of some sort
(probably a small one) and not the government :-)

=====
Gautam Mukunda
[EMAIL PROTECTED]
"Freedom is not free"
http://www.mukunda.blogspot.com

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