For people with a high BMI, donating your body to science may be impossible, which makes care worse for the living.
as an accurate predictor of health outcomes by medical literature, yet Strings says it remains in general medical use because it “feels scientific.” It’s also notable, says Strings, that the data sets used to determine this so-called universal health measurement focus largely on white men, meaning it cannot be applied accurately to other races or genders.
“What worries me is the idea of an environment where students carrying their own pre-existing biases into medical school and into the anatomy lab are then equipped with new perceptions that people with overweight and obesity … are more difficult to work with, harder to learn from, and unhealthy.” While hoisting donor’s bodies can be an injury risk to the backs of embalmers, Lubrant says that lifts used in many embalming rooms can significantly reduce this risk. Some of the machines even have a weight capacity to “easily” hold up to 900 pounds.
This lack of early and positive exposure to bodies with more adipose tissue can be a dangerous breeding ground for weight bias and fatphobia, says Adeline Goss, a neurohospitalist—neurologist focused on in-patient care—at Highland Hospital in California who contributed to a 2020that looked at negative language used to describe bodies with more adipose tissue in gross anatomy labs.
“Then we can imagine how this might reinforce or enhance weight bias that we know plays out when these students become physicians. We know that physicians, much like the general population, often hold negative attitudes toward people they perceive as having excess weight … and this has been shown to have a negative impact on the doctor-patient relationship and the quality of care.”
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