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As America's Waistline Expands, Costs Soar

* $190 billion a year in excess medical spending

* Many costs borne by non-obese, as in higher insurance premiums

* Anti-obesity campaigners say highlighting costs should spur policy changes

By Sharon Begley

NEW YORK, April 30 (Reuters) - U.S. hospitals are ripping out wall-mounted toilets and replacing them with floor models to better support obese patients. The Federal Transit Administration wants buses to be tested for the impact of heavier riders on steering and braking. Cars are burning nearly a billion gallons of gasoline more a year than if passengers weighed what they did in 1960.

The nation's rising rate of obesity has been well-chronicled. But businesses, governments and individuals are only now coming to grips with the costs of those extra pounds, many of which are even greater than believed only a few years ago: The additional medical spending due to obesity is double previous estimates and exceeds even those of smoking, a new study shows.         More Read

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