Medical and chemical authorities have been questioned for many centuries. As far back as Friedrich Spee (1591-1635) in the early 17th century there were even among the clergy men with enlightened views on what might be helpful ways to assist people on their journey to better health or simply pain relief. This did include many unhelpful or detrimental methods as well. Scientific rigor was not well established at that time, which opened up many doors for alternative diagnosis and treatment. From a historical and sociological perspective the closing procedures of professional organizations are interesting as well as opposition to them. Early moderators between hardliner positions are rare at the times of forceful and fierce competition between opinions and doctrines that characterized medieval history. In the absence of an independent judiciary earlier moderation could be influential in specific instances. A testimony for can be found in a documentation of the biography of Friedrich Spee and the society that promotes the memory of such exemplary behavior.
Minority Politicians
We have regulations in favor of minorities in many countries. Most people immediately jump to their opinions about specific minorities they most strongly feel about. Favoritism through targeted policies versus discrimination are key issues here. Evaluation of effective policies to support minorities needs solid science before jumping to premature conclusions.
A recent study on the largest minority group of extraordinary people, often denoted as persons with disabilities, has focused on political representation. The results confirmed the hypothesis of an under-represention of the group in parliaments. Reher & Evans (2024) show ample evidence that despite the large and increasing shares of persons with disabilities (about 20-25% across Europe) under-represention is likely to lead to lack of concern of society as whole to topics of relevance to them. By-the-way, most of such policies would equally benefit an aging society and young families for example with regard to mobility. Perhaps another striking example is the tendency of extraordinary persons to not report their kind of disability out of fear of stigmatization and potential discrimination.
Policy makers need to take a long-term perspective to reorient public spending in favor of extraordinary persons. Infrastructure investments are needed here as well. More persons with disabilities across all political parties can bring about such changes. Extraordinary persons deserve equal representation. It is up to us to make it happen.
(Image: German Bundestag 2025-2).
Obesity Revised
The scientific paper on a revised definition of obesity was produced by the special Commission on Obesity. It appeared in The Lancet Diabetes & Endocrinology in 2025-1. The previously common practice by medical doctors was to classify person in the obesity category based mainly on the simple calculation of the body mass index (BMI = weight/height²). A BMI > 30 put persons into the obese category and stigma.
Since the Covid-19 society-wide testing experience, we are all familiar what it means if you get misclassified and have to live with the consequences (exclusion from work or events etc.). The simplifying and summarizing BMI calculation and classification has also produced many wrong classifications. For example, persons with a lot of muscles (just watch this at any fitness studio) will have a high weight relative to their body height², but they are likely to be more healthy than many other light weight, but seriously stressed persons.
In empirical test theory such cases are the so-called false positive cases, i.e. classified as obese, but not a medical problem at all. Medical doctors and health insurances should not finance special treatments for these persons, which foregoes treatment of other more needy persons.
With new expensive drugs on the market to treat obesity it is even more important to test with more precision the normal, pre-clinical and clinical status of obesity. Fatty tissue or muscles, that is the relevant question. Fatty tissue in muscles is the next level testing issue.
On Woke-ability
The past particle of “to awake” is “woke“. As early as the 1960s the term woke has appeared in a New York Times article to reflect the idea that in the African-American History movement you woke up to a new movement, leaving behind discriminatory practice and rhetoric. The definition of woke in dictionaries refers to an awareness of social facts and injustices. Additionally, the use of woke has implied a need to act upon injustices due to social and/or ethnic origin. Elements of the woke movement were the use of more general non-discriminatory terms like people of color (POC) in official documents and revisions of textbooks for pupils. Subsequently, the application of the term woke spread to other social concerns like the discrimination of LGTBQ+ people in many societies.
The underlying concern was and still is (1) to recognize the discrimination and disadvantages faced by many groups in society and (2) a call for changing the way we talk about it and (3) a shift of policies to counter social injustices. Societies differ in the capacity of “woke-ability”, i.e. the capability to address social inequalities of various types including intersectionality. Societies have never simply been only homogenous. Heterogeneity, plurality and complexity are much better suited to represent societies, regions or countries. It is our willingness to deal with these complexities in an open way which includes the “woke-ability” of social phenomena. Acknowdge a social problem and act upon it. Change the way we talk about a problem and the discoursive practice in general are important steps to address old and new social problems. For example, over the last 50years the discourse with respect to handicapped persons has evolved and the Paris 2024 Paralympics have made this clear to the public on a global scale.
(Image: Installation of Daniel Boyd in the Martin Gropius Bau, Berlin 2023)
