Though body size can be altered with environmental or behavioral changes, anatomic shape, which appears to be genetically determined, cannot be changed except by surgery, trauma, or illness.
A clinical case shows how medical commercialism poses risks to patients without symptoms who get full body scans. Screening for pre-morbid disease detection is valuable if implemented correctly but calls for physician caution.
The proliferation of enhancement technologies and pharmacological agents has perpetuated the view of American doctors and patients of medical care as a market commodity driven by what consumers want and are willing to pay for.