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    An Anti-Obesity Drug and Cultural Stigmas

    More from our inbox:Seeking More Insight Into Republican VotersScandal at Liberty UniversityFree Analysis? Alice Rosati/Trunk ArchiveTo the Editor:Re “Ozempic Can’t Fix What Our Culture Has Broken,” by Tressie McMillan Cottom (column, Oct. 15):By “broken” in the headline, the column implies that we still perpetuate a cultural bias against obese people.Yes, we do stigmatize fat people. I’m fat. What’s also broken, though, is our habit of blaming society for failing to accept us, and medical institutions for failing to fix us, before we take an honest look at our own choices contributing to becoming unhealthy in the first place.Clearly obesity is an epidemic with complex environmental, economic and genetic factors. But for most, physical activity and healthy eating are still nature’s best prevention and remedy. Unlike Ozempic, they’re not a sexy quick fix. They’re work.Maybe healthy eating and activity are just too simple. But viewing ourselves first as victims of unfair systems is also not the answer.Society will always judge. Institutions will always be profit-driven. Blaming is easy. Honest self-assessment and changing habits are hard.Leslie DunnCarmel, Calif.To the Editor:Tressie McMillan Cottom’s fine column covers almost all the issues that I, as a slightly overweight but not obese woman, have with the new weight-loss drugs.But one issue needs to be addressed: What will we think about and how will we treat people (women) who choose not to take this drug, for whatever reason? Maybe it’s because it’s too expensive; maybe because it’s a commitment to a lifetime of taking the drug; maybe it’s just, amazingly, because they are comfortable in their rounded, plush bodies, and don’t desire to change them. Will they face even more opprobrium for that choice than they already do?I’ve spent the last 66 years (and counting) being told that my body isn’t “right,” by doctors, family and society. I’ve just finally come to terms with the fact that I’m stuck in it, and I’m lucky to be able to wake up every morning and get out of bed. Isn’t that enough?Naomi Weisberg SiegelPittsburghTo the Editor:While I agree with the author on many points, one point she didn’t address effectively is that Ozempic and other weight-loss drugs help cover up a main culprit that is causing our obesity: the U.S. food industry and “ultraprocessed foods.”Up until about the 1980s the U.S. didn’t have such a serious obesity problem. Then sugar began being added to everything, along with other things not found in any garden or kitchen.Dr. McMillan Cottom points out that people can be obese and be healthy, but that is not true of most obese people. Ozempic was created because of rampant diabetes in the U.S., the risk of which is increased by eating ultraprocessed foods.Our food industry is killing us with slow deaths from chronic diseases.Deborah JerardMontpelier, Vt.The writer is a pediatrician.Seeking More Insight Into Republican VotersWhy These 11 Republican Voters Like Trump But Might Bail on HimThe group discusses what it would take for a candidate other than Trump to win their vote.To the Editor:Re “Could These Republican Voters Abandon Trump?” (“America in Focus” series, Opinion, Oct. 22):This piece was disturbing but unenlightening about why voters support Donald Trump.Focus groups are supposed to probe for deeper understanding of participants’ views, yet your moderator accepted answers without delving into how participants reached those views.For example, when Cristian said about Donald Trump that “he does get things done,” the moderator could have asked for specifics. It would have been an interesting answer because Mr. Trump actually got very little done.The most glaring omission was Mr. Trump’s false claims of a stolen 2020 election. Do participants agree with Mr. Trump? Where do they get their news? Does this issue even matter to them?We have known for months that Mr. Trump maintains strong voter support. We might have gotten some insight into why had the moderators asked more clarifying questions.Ann LaubachAustin, TexasTo the Editor:First, I will applaud both Kristen Soltis Anderson for her skilled questions and moderation, as well as Patrick Healy and the Times Opinion team for sticking with your amazing series, most recently “Could These Republican Voters Abandon Trump?” Fascinating stuff.But just like the infamous CNN town hall with Donald Trump, it leaves an urgent set of questions. Mainly these:1. What about the criminal cases against Mr. Trump?2. What about climate change and the green agenda?Without understanding in depth these 11 Republicans on these topics, I just don’t see how I can evaluate. Of course, I recognize that these individuals have most likely completely dismissed these entire areas of thought. Nonetheless, to understand the situation in my country, I need to see what rationales they are using to do that.George OdellNewburyport, Mass.Scandal at Liberty University Julia Rendleman for The New York TimesTo the Editor:Re “The Worst Scandal in American Higher Education,” by David French (column, Oct. 23):Thank you to Mr. French for bringing the truly appalling behavior of Liberty “University” officials to our attention. Yet while he reports that the $37.5 million fine Liberty might face would be “unprecedented,” I can’t help but wonder why the Department of Education wouldn’t strip Liberty of its accreditation altogether, making it ineligible to receive federal money.Such a move is long overdue, and not just because Liberty has lied about campus crime and pressured victims of sexual assault to stay quiet. Liberty, and a host of other Christian institutions, are not colleges in the critical sense. These are places where answers precede questions, where intellectual exploration is hemmed in by theological dogma, and where basic tenets of academic freedom are treated as optional.Why should taxpayers be funding education at such places at all?Steven ConnYellow Springs, OhioThe writer is a professor of history at Miami University.Free Analysis?James AlbonTo the Editor:“How Do You Charge a Friend for a Professional Favor?” (Business, nytimes.com, Oct. 21): Another favor-asking situation that commonly occurs is asking physicians, be they friends or a recent acquaintance at a social event, for free medical opinions or even advice. The many ways of handling those situations would warrant an entire New York Times article.There is another common experience that occurs when one is introduced to someone as a psychiatrist, psychoanalyst or therapist in nonprofessional settings.Such introductions often evoke the question, “Are you analyzing me?” To which I almost always respond, “Not if you’re not paying me.” And we move on.Jack DrescherNew YorkThe writer, a psychiatrist and psychoanalyst, is past president of the Group for Advancement of Psychiatry. More

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    DeSantis Attempts to Woo Young Evangelicals at Liberty University

    The Florida governor pitched himself as a defender of traditional values to students at Liberty University, an important stage for Republican presidential hopefuls.The morning after signing one of the nation’s most stringent abortion bills into law, Gov. Ron DeSantis of Florida pitched himself to thousands of evangelical college students as a defender of truth, common sense and morality in the public square.“Yes, the truth will set you free,” Mr. DeSantis said, invoking the words of Christ. “Because woke represents a war on truth, we must wage a war on woke.”Mr. DeSantis spoke to about 10,000 students at Liberty University’s twice-weekly convocation service, which the school bills as “the world’s largest gathering of Christian students.”He was introduced by pastor Jonathan Falwell, recently named the school’s chancellor, who drew sustained applause when he mentioned Mr. DeSantis’s signing of the abortion law on Thursday night. The law prohibits the procedure past six weeks.Mr. DeSantis did not explicitly mention the abortion law. He opened his speech on a personal note, thanking the audience for their prayers after his wife’s cancer diagnosis in 2021.“The prayers have been answered,” he said. He went on to tout his record in Florida on an array of issues including new restrictions on gender-affirming medical treatments.“We chose facts over fear, we chose education over indoctrination, we chose law and order over rioting and disorder,” Mr. DeSantis said. “We did not back down.”Students listened to a band playing Christian worship music before Mr. DeSantis’s speech. Eze Amos for The New York TimesThe visit was part of Mr. DeSantis’s national tour of centers of conservative influence as he builds momentum for his widely anticipated entry into the 2024 presidential campaign. More than that, it was a crucial opportunity to gauge, and perhaps advance, his relationship status with evangelical Christians — a voting bloc that helped vault Donald J. Trump to the presidency and appears to be open to new presidential suitors.Liberty University in Lynchburg, Va., has long been an important stop for Republican politicians and conservative celebrities eager to reach the campus’s undergraduates.It is the stage where Senator Ted Cruz of Texas announced his candidacy in 2015. It is also where Mr. Trump introduced himself to a wider evangelical audience, pitching himself as the defender of a Christianity under attack — and famously referred to “Two Corinthians” in a fumbled attempt to speak the same language as his listeners.Ultimately, Mr. Trump did not need to “speak evangelical” to win them over. He won an even higher share of the white evangelical vote in 2020 than he did in 2016. Though some evangelical leaders have signaled they would consider supporting another Republican candidate, many remain loyal to Mr. Trump and have so far shown few signs of abandoning him en masse over his recent indictment.For Mr. DeSantis, the question is whether he can loosen that extraordinary bond.Jesse Hughes, a junior at Liberty, had been hoping to hear Mr. DeSantis offer a more intimate account of how his faith influenced his approach to governing and helped him navigate challenges like his wife’s cancer diagnosis. Instead, he said he mostly heard material he recognized from Mr. DeSantis’s other speeches.Still, he is impressed with Mr. DeSantis’s record in Florida, including his approach to abortion legislation, education, and “how he’s willing to take bold stances and not cave to media pressure.” Under Mr. DeSantis, the state has banned discussion of sexual orientation and gender identity in some elementary school grades. Mr. Hughes read Mr. DeSantis’s recent memoir, “The Courage to Be Free,” but said he found little to help him understand the governor’s personal spiritual life. “There are references to his faith, but he doesn’t go into much detail on anything,” he said.Jesse Hughes, a student at Liberty University, is impressed with Mr. DeSantis’s record but said he was hoping to hear the governor talk about how his faith helped him navigate challenges.Eze Amos for The New York Times Mr. Hughes brushed off the indictment against Mr. Trump as “political persecution.” But he also said that many of his fellow students are ready to move past Mr. Trump.Mr. Hughes, 21, is the president of the campus’s College Republicans club, which is conducting a small informal poll of student preferences in the primary. Hours before the poll closed on Friday, Mr. DeSantis had 53 percent of the vote to Mr. Trump’s 31 percent, with former South Carolina governor Nikki Haley at 13 percent.“What I’m seeing is definite interest in DeSantis, but not a rejection of Trump” among white evangelicals, said Kristin Kobes Du Mez, a historian at evangelical Calvin University in Michigan and the author of “Jesus and John Wayne.”Ms. Du Mez sees Mr. DeSantis making a similar appeal to conservative evangelicals as Mr. Trump did, positioning himself as a combative culture warrior who is “protecting the vulnerable Christians.” He may appeal to voters who are drawn to Mr. Trump but exhausted by the chaos that follows him, or doubtful of his chances to win in a general election, she said.But there is a trade-off. “What you gain in terms of stability in turning to DeSantis,” Ms. Du Mez said, “you lose in terms of charisma.”She said that most conservative evangelicals at this early stage seem genuinely open to either of the leading candidates. Among voters, at least, “it’s a friendly competition.”Mr. DeSantis spoke to about 10,000 students at Liberty University’s twice-weekly convocation service. Eze Amos for The New York TimesMr. DeSantis was raised in a Catholic family in Florida. “Growing up as a kid, it was nonnegotiable that I would have my rear end in church every Sunday morning,” he wrote in his memoir. He has an aunt who is a nun and an uncle who is a priest, both in Ohio. (Both declined to comment on their nephew’s religious upbringing.)Until now, he has deployed mentions of his personal faith fairly cautiously, while positioning himself as a defender of “God-fearing” people. In speeches, he often refers to putting on “the full armor of God” — a biblical reference and an evangelical touchstone — telling audiences to “stand firm against the left’s schemes.”He closed his speech at Liberty with another scripture reference, telling the crowd that “I will fight the good fight, I will finish the race, and I will keep the faith,” paraphrasing the apostle Paul in the book of 2 Timothy.Liberty University has long been an important stop for Republican presidential hopefuls.Eze Amos for The New York TimesDaniel Hostetter, the student body president, said his initial impression of Mr. DeSantis’s address was that it felt less personal than what he had heard from other politicians on Liberty’s stage, including former Vice President Mike Pence and Glenn Youngkin, the governor of Virginia.“I feel like I just don’t know as much about DeSantis as I’d like,” he said. In a candidate, he is looking for someone “who looks like Christ” — someone who is kind and “full of mercy” but will stand by his convictions.He noted that one of the biggest applause lines of the morning did not even come from Mr. DeSantis, but from Mr. Falwell, when he mentioned Florida’s new six-week abortion ban. He speculated that Mr. DeSantis may be waiting to see how the ban is received nationally.Abortion has become a thorny issue for Republicans in the wake of the Supreme Court’s overturning of Roe v. Wade in 2022. A portion of its base will settle for nothing less than the strongest restrictions, putting them out of step with the electorate as a whole and raising concerns about how any candidate who could win the Republican primary on the issue could then go on to win the general election. Sixty-four percent of Americans believe abortion should be legal in most cases, according to a poll this year from the Public Religion Research Institute.Daniel Griffith, a graduate student who leads a youth ministry at Liberty, said he was disappointed by some of Mr. DeSantis’s more aggressive rhetoric. He noted that the governor’s lines about “wokeness” got more applause than his recitation of his economic achievements in Florida. “I have friends who he would probably consider woke,” he said. “It gets the cheers, it gets the noise, which kind of stinks.”Mr. Griffith said he is leaning toward supporting Mr. DeSantis over Mr. Trump.“We chose facts over fear, we chose education over indoctrination, we chose law and order over rioting and disorder,” Mr. DeSantis said in his speech, referring to his record in Florida.Eze Amos for The New York Times“People are sick of the controversies and sick of the scandal,” he said. “Even at Liberty, we’ve had our own mess and we’re sick of that,” he added, comparing Mr. Trump’s outbursts and legal entanglements with the problems of a former president of the school, Jerry Falwell Jr.Mr. Falwell, a former president of Liberty, was one of Mr. Trump’s first prominent evangelical supporters. He endorsed Mr. Trump in January of 2016, about a week after the candidate spoke at Liberty’s convocation, and became one of his most vocal allies.Mr. Falwell resigned as president in 2020 in a haze of tawdry controversies and is currently suing the school over his retirement payments. The school named a new president in March, Dondi Costin, a former Air Force chaplain who was most recently the president of Charleston Southern University.Out of power and without a platform, Mr. Falwell is an observer in this election cycle, not an influencer. Reached at home on Wednesday, he said he no longer has Mr. Trump’s phone number.But his political instincts have not changed.“I’ve got nothing against DeSantis at all, I just don’t think he’s ready for prime time yet,” Mr. Falwell said, remarking that the governor “looks like a little boy.”He added, “I’m still 100 percent a Trump man.” More