The Fat Doctor Podcast

When Healthcare Becomes Compliance Theater


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Healthcare's approach to diabetes has become less about treating a disease and more about fixing the person. In this episode, I walk through Cosmo's fictional-but-familiar journey from diagnosis through multiple medications to a specialist referral that came with a homework assignment. When we receive forms asking us to set goals, rate our confidence, and think about what our blood sugar levels "mean to us" before we've even met a clinician, we're being set up to fail. I examine how medical professionals have shifted responsibility for treatment outcomes onto patients, turning a manageable chronic condition into a moral failure requiring correction—and why this approach drives people away from the care they desperately need. 

If you're dreading your next diabetic review, my online course gives you everything the diabetes clinic should have given you: understanding, empowerment, and practical tools—without the shame. 

Got a question for the next podcast? Let me know!

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The Fat Doctor PodcastBy Dr Asher Larmie

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