January’s Books of the Month

This month’s general interest book is by my colleague Eric Oliver — Fat Politics: the Real Story Behind America?s Obesity Epidemic. The real story, according to Oliver, is that there is no such thing as an obesity epidemic — rather, this appears to be a whopping case of medical experts confusing correlation with causation. This ...

By , a professor of international politics at the Fletcher School of Law and Diplomacy at Tufts University and co-host of the Space the Nation podcast.

This month's general interest book is by my colleague Eric Oliver -- Fat Politics: the Real Story Behind America?s Obesity Epidemic. The real story, according to Oliver, is that there is no such thing as an obesity epidemic -- rather, this appears to be a whopping case of medical experts confusing correlation with causation. This write-up in the U of C Chronicle does a fair job of providing a precis: Oliver contends there is no scientific evidence to suggest that people who are currently classified as ?overweight? and even most Americans who qualify as ?obese? are under any direct threat from their body weight. Oliver explains that this is partly because the current standards of what is ?overweight? and ?obese? are defined at very low levels?George Bush is technically ?overweight,? while Arnold Schwarzenegger is ?obese.? But it also is because most people confuse body weight with the real sources of health and well-being?diet and exercise, he says. In most cases, the relationship between fat and disease is simply an association, says Oliver. People who are overweight may also have heart disease, for instance, but there is no proof that being overweight causes the heart disease. ?There are only a few medical conditions that have been shown convincingly to be caused by excess body fat, such as osteoarthritis of weight bearing joints and uterine cancer, which comes from higher estrogen levels in heavier women, although this can be treated medically without weight loss,? he says. ?For most medical conditions, it is diet, exercise and genetics that are the real causes. Weight is merely an associated symptom.? Yet Americans continue to be told that they need to lose weight, Oliver believes, partly because weight is so much easier to measure than diet and exercise. It also is because of American values that consider overweight a sign of sloth and thinness a mark of social status, he says. ?But the most important factor,? Oliver argues, ?behind America?s ?obesity epidemic? is the weight loss industry and public health establishment.? Read the whole thing -- Oliver's deconstruction of the body mass index (BMI) as the basic metric for determining obesity is particularly useful. The one mystery that remains for me is why powerful economic sectors -- like processed food services and restaurant owners -- haven't fought harder against the obesity myth. Oh, yes, in case you were wondering, Eric didn't write this as a massive justification for his own body tpe -- he's quite svelte. The international relations book is Michael Mandelbaum's The Case for Goliath: How America Acts as the World?s Government in the Twenty-First Century. There's a book excerpt in the January/February 2006 issue of Foreign Policy in which Mandelbaum spells out his basic hypothesis: The gap between what the world says about American power and what it fails to do about it is the single most striking feature of 21st-century international relations. The explanation for this gap is twofold. First, the charges most frequently leveled at America are false. The United States does not endanger other countries, nor does it invariably act without regard to the interests and wishes of others. Second, far from menacing the rest of the world, the United States plays a uniquely positive global role. The governments of most other countries understand that, although they have powerful reasons not to say so explicitly.... To be sure, the United States did not deliberately set out to become the world?s government. The services it provides originated during the Cold War as part of its struggle with the Soviet Union, and America has continued, adapted, and in some cases expanded them in the post-Cold War era. Nor do Americans think of their country as the world?s government. Rather, it conducts, in their view, a series of policies designed to further American interests. In this respect they are correct, but these policies serve the interests of others as well. The alternative to the role the United States plays in the world is not better global governance, but less of it?and that would make the world a far more dangerous and less prosperous place. Never in human history has one country done so much for so many others, and received so little appreciation for its efforts.... If a global plebiscite concerning America?s role in the world were held by secret ballot, most foreign-policy officials in other countries would vote in favor of continuing it. Though the Chinese object to the U.S. military role as Taiwan?s protector, they value the effect that American military deployments in East Asia have in preventing Japan from pursuing more robust military policies. But others will not declare their support for America?s global role. Acknowledging it would risk raising the question of why those who take advantage of the services America provides do not pay more for them. It would risk, that is, other countries? capacities to continue as free riders, which is an arrangement no government will lightly abandon. In the end, however, what other nations do or do not say about the United States will not be crucial to whether, or for how long, the United States continues to function as the world?s government. That will depend on the willingness of the American public, the ultimate arbiter of American foreign policy, to sustain the costs involved. In the near future, America?s role in the world will have to compete for public funds with the rising costs of domestic entitlement programs. It is Social Security and Medicare, not the rise of China or the kind of coalition that defeated powerful empires in the past, that pose the greatest threat to America?s role as the world?s government.Mandelbaum's thesis is, in many ways, an updating an old warhorse in international relations scholarship, hegemonic stability theory (HST). The funny thing about HST is that almost no one in the discipline would claim to buy the whole argument. Realists don't buy it because the theory posits that a hegemonic actor provides global public goods even though it knows that other states, by free riding off those goods, will catch up in terms of relative power. Liberals don't buy it because the evidence that international regimes collapse when a hegemon is in decline turns out to be pretty meager. Constructivists don't buy it because the root of the theory is a state's material power and not its power over norms is what drives the model. Rationalists don't buy the hegemon's motivations -- why provide public goods and tolerate free riding when an actor can coerce others into chipping in? That said, the model is still around when academics talk about policy, because at some level there's a ring of truth to it. It's the difference between pure theory and policy-relevant scholarship -- which is a topic too big for this blog post.

This month’s general interest book is by my colleague Eric Oliver — Fat Politics: the Real Story Behind America?s Obesity Epidemic. The real story, according to Oliver, is that there is no such thing as an obesity epidemic — rather, this appears to be a whopping case of medical experts confusing correlation with causation. This write-up in the U of C Chronicle does a fair job of providing a precis:

Oliver contends there is no scientific evidence to suggest that people who are currently classified as ?overweight? and even most Americans who qualify as ?obese? are under any direct threat from their body weight. Oliver explains that this is partly because the current standards of what is ?overweight? and ?obese? are defined at very low levels?George Bush is technically ?overweight,? while Arnold Schwarzenegger is ?obese.? But it also is because most people confuse body weight with the real sources of health and well-being?diet and exercise, he says. In most cases, the relationship between fat and disease is simply an association, says Oliver. People who are overweight may also have heart disease, for instance, but there is no proof that being overweight causes the heart disease. ?There are only a few medical conditions that have been shown convincingly to be caused by excess body fat, such as osteoarthritis of weight bearing joints and uterine cancer, which comes from higher estrogen levels in heavier women, although this can be treated medically without weight loss,? he says. ?For most medical conditions, it is diet, exercise and genetics that are the real causes. Weight is merely an associated symptom.? Yet Americans continue to be told that they need to lose weight, Oliver believes, partly because weight is so much easier to measure than diet and exercise. It also is because of American values that consider overweight a sign of sloth and thinness a mark of social status, he says. ?But the most important factor,? Oliver argues, ?behind America?s ?obesity epidemic? is the weight loss industry and public health establishment.?

Read the whole thing — Oliver’s deconstruction of the body mass index (BMI) as the basic metric for determining obesity is particularly useful. The one mystery that remains for me is why powerful economic sectors — like processed food services and restaurant owners — haven’t fought harder against the obesity myth. Oh, yes, in case you were wondering, Eric didn’t write this as a massive justification for his own body tpe — he’s quite svelte. The international relations book is Michael Mandelbaum’s The Case for Goliath: How America Acts as the World?s Government in the Twenty-First Century. There’s a book excerpt in the January/February 2006 issue of Foreign Policy in which Mandelbaum spells out his basic hypothesis:

The gap between what the world says about American power and what it fails to do about it is the single most striking feature of 21st-century international relations. The explanation for this gap is twofold. First, the charges most frequently leveled at America are false. The United States does not endanger other countries, nor does it invariably act without regard to the interests and wishes of others. Second, far from menacing the rest of the world, the United States plays a uniquely positive global role. The governments of most other countries understand that, although they have powerful reasons not to say so explicitly…. To be sure, the United States did not deliberately set out to become the world?s government. The services it provides originated during the Cold War as part of its struggle with the Soviet Union, and America has continued, adapted, and in some cases expanded them in the post-Cold War era. Nor do Americans think of their country as the world?s government. Rather, it conducts, in their view, a series of policies designed to further American interests. In this respect they are correct, but these policies serve the interests of others as well. The alternative to the role the United States plays in the world is not better global governance, but less of it?and that would make the world a far more dangerous and less prosperous place. Never in human history has one country done so much for so many others, and received so little appreciation for its efforts…. If a global plebiscite concerning America?s role in the world were held by secret ballot, most foreign-policy officials in other countries would vote in favor of continuing it. Though the Chinese object to the U.S. military role as Taiwan?s protector, they value the effect that American military deployments in East Asia have in preventing Japan from pursuing more robust military policies. But others will not declare their support for America?s global role. Acknowledging it would risk raising the question of why those who take advantage of the services America provides do not pay more for them. It would risk, that is, other countries? capacities to continue as free riders, which is an arrangement no government will lightly abandon. In the end, however, what other nations do or do not say about the United States will not be crucial to whether, or for how long, the United States continues to function as the world?s government. That will depend on the willingness of the American public, the ultimate arbiter of American foreign policy, to sustain the costs involved. In the near future, America?s role in the world will have to compete for public funds with the rising costs of domestic entitlement programs. It is Social Security and Medicare, not the rise of China or the kind of coalition that defeated powerful empires in the past, that pose the greatest threat to America?s role as the world?s government.

Mandelbaum’s thesis is, in many ways, an updating an old warhorse in international relations scholarship, hegemonic stability theory (HST). The funny thing about HST is that almost no one in the discipline would claim to buy the whole argument. Realists don’t buy it because the theory posits that a hegemonic actor provides global public goods even though it knows that other states, by free riding off those goods, will catch up in terms of relative power. Liberals don’t buy it because the evidence that international regimes collapse when a hegemon is in decline turns out to be pretty meager. Constructivists don’t buy it because the root of the theory is a state’s material power and not its power over norms is what drives the model. Rationalists don’t buy the hegemon’s motivations — why provide public goods and tolerate free riding when an actor can coerce others into chipping in? That said, the model is still around when academics talk about policy, because at some level there’s a ring of truth to it. It’s the difference between pure theory and policy-relevant scholarship — which is a topic too big for this blog post.

Daniel W. Drezner is a professor of international politics at the Fletcher School of Law and Diplomacy at Tufts University and co-host of the Space the Nation podcast. Twitter: @dandrezner

More from Foreign Policy

Russian President Vladimir Putin and Chinese President Xi Jinping give a toast during a reception following their talks at the Kremlin in Moscow on March 21.
Russian President Vladimir Putin and Chinese President Xi Jinping give a toast during a reception following their talks at the Kremlin in Moscow on March 21.

Can Russia Get Used to Being China’s Little Brother?

The power dynamic between Beijing and Moscow has switched dramatically.

Xi and Putin shake hands while carrying red folders.
Xi and Putin shake hands while carrying red folders.

Xi and Putin Have the Most Consequential Undeclared Alliance in the World

It’s become more important than Washington’s official alliances today.

Russian President Vladimir Putin greets Kazakh President Kassym-Jomart Tokayev.
Russian President Vladimir Putin greets Kazakh President Kassym-Jomart Tokayev.

It’s a New Great Game. Again.

Across Central Asia, Russia’s brand is tainted by Ukraine, China’s got challenges, and Washington senses another opening.

Kurdish military officers take part in a graduation ceremony in Erbil, the capital of Iraq’s Kurdistan Region, on Jan. 15.
Kurdish military officers take part in a graduation ceremony in Erbil, the capital of Iraq’s Kurdistan Region, on Jan. 15.

Iraqi Kurdistan’s House of Cards Is Collapsing

The region once seemed a bright spot in the disorder unleashed by U.S. regime change. Today, things look bleak.