Dennis, this has always been a worry. A lot of health promoters do not have the larger perspective of why some smoke and others gain excess weight. Increased work hours, the fact that those who prepare the meals in a low income household may have to juggle household duties with two part time low income jobs plus getting back and forth by bus, and a lot of other challenges are not taken into consideration. Add to this the fact that many health promoters are narcissistic and work with and for higher income clients tilts their perspective. This is a bit like the reduction in community organizing training and focus that social workers have experienced in the past couple of decades. Increased specialization has led to a reduced broad world perspective which informs "professionals" as to the larger forces at work on determining life styles. I am probably one of the few fat people who has no excuse [:>)}. Bill Ward Tampa, FL On Thu, 4 Oct 2001 19:51:03 -0400 Dennis Raphael <[log in to unmask]> writes: > poor people's cardiovascular disease is due to their smoking, lack > of activity and unhealthy diet. A task that many public health units have > enthusiastically taken up. > > -Michael Fitzpatrick, The Tyranny of Health, 2001.