Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

How obesity is a national security concern

Brian C. Joondeph, MD
Conditions
March 23, 2018
Share
Tweet
Share

When thinking about the United States military, we conjure up images of Rambo and GI Jane, or Maverick and Iceman from Top Gun. The images are of lean, mean fighting machines who are ripped, fit and ready to take on America’s enemies. Movies are one thing, but reality paints a different picture.

A recent report from The Heritage Foundation describes trouble ahead for the U.S. military. Based on 2017 Pentagon data, three-quarters of young Americans may be too unfit, unhealthy or otherwise unqualified to serve in the military.

Specifically, “71 percent of young Americans between 17 and 24 are ineligible to serve in the United States military.” In other words, “24 million of the 34 million people of that age group cannot join the armed forces — even if they wanted to.”

How can that be? What does this mean for the U.S. military with its all-volunteer force? What are the implications for national security in an increasingly hostile world?

Physical fitness is not the only barrier for those wanting to join the military. The four main reasons are health problems (32 percent), physical fitness (27 percent), education (25 percent) and criminality in 10 percent.

The Marines have the toughest fitness standards: two minutes of crunches, maximum pull-ups and a three-mile run — all scored by points. The Army is a little easier, requiring two minutes each of push-ups and sit-ups, and a timed two-mile run. Easier still is the Coast Guard with one minute each of push-ups and sit-ups and a 1.5-mile run. Those who are overweight or unfit will have a much more difficult time meeting the fitness standards to join any of the service branches.

Obesity begins in childhood with 19 percent of American children currently obese. There are plenty of reasons including poor diet, lack of exercise, too much time in front of the TV and elimination of recess time in many schools.

Obesity leads to health problems such as hypertension, diabetes, asthma, and joint problems, all preventing the fitness level needed for military service.

Education is another requirement for joining the military. A high school diploma or GED, “Ensures that recruits possess a minimum level of education, a basic understanding of written and cognitive skills, and enough ‘stick-to-itiveness’ to complete an organized program.” Graduation rates in many US cities range from 50 to 70 percent, disqualifying many students from future military service.

Finally, criminality is another barrier, preventing, “One of every 10 young adults from being able to join the Armed Forces—meaning that 3.4 million people who would otherwise make the cut are unable to join.”

Going forward, all service branches will be affected with the Army facing the greatest annual need. “The Army anticipates problems with meeting its 2018 goal to enlist 80,000 qualified volunteers.” The U.S. currently has 2.4 million total military personnel compared to China with 3.7 million. The U.S. not meeting her recruiting goals is a looming national security nightmare.

The simple knee-jerk solution is to change the standards. So what if a recruit needs 20 minutes to run a mile or can’t do more than five push-ups? Or has a criminal record or flunked out of high school? It’s mean and exclusionary to keep these young people from joining the armed forces.

Unfortunately, social engineering doesn’t lead to the lean, mean fighting machine necessary in a military conflict. Political correctness won’t win a war. Instead, Americans expect a well-trained, qualified military to defend the homeland.

Proposed solutions include public awareness and advocacy. Influential role models and junior programs have also been suggested. Well-meaning ideas that have not worked particularly well for other social issues including drugs, alcohol, crime, and delinquency. Obesity is on the rise despite the public awareness, from Michelle Obama’s Let’s Move campaign to the popularity of fitness-related TV shows like American Ninja Warrior.

America has had an all-volunteer force since 1973. There is always the option of conscription, re-instituting the draft. Israel uses this approach. “Israel is unique in that military service is compulsory for both males and females. It is the only country in the world that maintains obligatory military service for women.” Described as a “social leveler” and a “womb for economic growth,” conscription has definite benefits.

Obesity and fitness are more than simply public health concerns. They represent a huge problem for the military and for national security.

Instead of Rambo, we have Michael Moore in camo fatigues. It’s certainly not the lethal fighting force ready to take on the challenges of today and the future.

Brian C. Joondeph is an ophthalmologist and can be reached on Twitter @retinaldoctor. This article originally appeared in the Daily Caller.

Image credit: Shutterstock.com

Prev

Sometimes death is not an option

March 23, 2018 Kevin 0
…
Next

How squeaky brakes reminded this doctor of the joys of primary care

March 23, 2018 Kevin 0
…

Tagged as: Obesity, Primary Care

< Previous Post
Sometimes death is not an option
Next Post >
How squeaky brakes reminded this doctor of the joys of primary care

ADVERTISEMENT

More by Brian C. Joondeph, MD

  • Ophthalmology in the era of COVID-19

    Brian C. Joondeph, MD
  • An ophthalmologist analyzes Joe Biden’s red eye

    Brian C. Joondeph, MD
  • When medical science becomes fake news

    Brian C. Joondeph, MD

Related Posts

  • Who’s really to blame for the obesity epidemic?

    Peter Ubel, MD
  • Gun violence in America is a national emergency

    Hussain Lalani, MD and Justin Lowenthal 
  • A case for national health insurance

    Jonathan Michels
  • Happy National Grateful Patient Day!

    R. Lynn Barnett
  • The National Guideline Clearinghouse will go offline. Patients will be worse off.

    Kenneth Lin, MD
  • Political games are destroying our national state of health

    Kurt R. Bravata, MD

More in Conditions

  • Ignored DNR hospital policy: a family’s tragic end-of-life story

    Amanda Cutshall
  • Health insurance incentives and alternatives to opioids for chronic pain

    Molly Candon, PhD and Daniel Clauw, MD
  • Communicating health to children: a pediatrician’s guide for parents

    Joey Skelton, MD
  • The truth about short-term opioid prescribing and opioid use disorder

    Kayvan Haddadan, MD
  • How spinal cord stimulation offers relief for chronic pain

    Kayvan Haddadan, MD
  • The rhythm of healthy aging: Moving beyond health care metrics

    Gerald Kuo
  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Ignored DNR hospital policy: a family’s tragic end-of-life story

      Amanda Cutshall | Conditions
    • Why measuring muscle mass matters more than tracking your weight [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 44 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Ignored DNR hospital policy: a family’s tragic end-of-life story

      Amanda Cutshall | Conditions
    • Why measuring muscle mass matters more than tracking your weight [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

How obesity is a national security concern
44 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...