Japanese companies and local governments, most are covered under public health care or through their work, must now measure the waistlines of Japanese people over 40 as part of their annual checkups. Those exceeding government limits, 33.5 inches for men and 35.4 inches for women, will be given dieting guidance if they do not lose weight. Companies and local governments who do not meet specific targets will be fined. Japan’s Ministry of Health argues that the campaign will keep the spread of diseases like diabetes and strokes in check.

Dr. Minoru Yamakado said he endorsed the government’s focus on preventive medicine, but he thinks the government’s real priority should be to reduce smoking rates.

Should the government get to dictate your weight and habits for the sake of health insurance?