What an interesting read this thread has been. Here are my various random thoughts:
I did not watch the show but did the read website and the backgrounds of the families profiled on the show. I just shook my head in amazement. In addition to the budgeting tips the finanical experts will provide the families, it appears that the family members, particularly the wife in the family with the combined income of $102,000, need to give some deep thought about their attitudes about money. Such overspending has to be covering some other underlyng deeper issues.
With regards to Oprah starting this debt diet program while hawking high-end goods in certain segments of her shows, while I think it is hypocritical, I don't particularly knock her for it, as I see it as a cost of her doing business. Two or three years ago, the Washington Post Sunday Magazine ran a feature on the growth of anti-consumerism groups. It was an excellent article, but the irony was not lost on me that this article was published in a publication whose primary income source comes from advertising of extremely high-end luxury goods/products.
Needs versus wants: I read the comments on the message board on Oprah's site and was saddened because it does seem that many of these people are looking for a quick fix. What is amazing is the number of people (not just on the Oprah board, but on this board and elsewhere in life) who have clearly picked up on the marketing messages from the financial services and luxury goods/services providers (the Madison Avenue mucketedy mucks that create and distribute this drivel should be handsomely compensated

because they clearly succeed in their goal) that they 'deserve' these items. When did we get to the mindset that discretionary spending items (i.e., vacations) are deserved. Folks who think this way seem to conveniently have disassociated themselves from the logical perspective of how will they pay for what they feel they deserve. Don't get me wrong. I enjoy my vacations and regularly budget for them. But vacations were something that I built up to
as my income increased. In my early 20's right out of the college, my vacations were spent enjoying the free and/or low-cost opportunties available in the city I lived in. There were no trips because I could not afford them. I am thankful for two pieces of advice from my parents--it is easier to go to college and complete your education unencumbered; and pay yourself first--no matter the size of your paycheck, decide an amount you will save, no matter what (for me at the time, that amount was $50) and put that in the bank. I understand that life happens: people are human and do not always make the best choices. But it seems a significant portion of the serious financial predicaments (including those profiled on Oprah) are more from poor choices/decisions than bad luck.
I agree with the posters, particularly, Beca, who wrote about the lack of balance in public spending/savings (e.g., growing federal deficit and the fact that so much of the US govt's debt is being financed by other countries, particularly China) contrasted with similar financial imbalances amongst individuals. And as pointed out in earlier posts, the imbalance in our physical/mental health is only going to more severely impact the economy.
Something will have to be done, and quickly, about rapidly sprialing health care costs. And although, I support a free-market system, it clearly causes problems when there is no balance. Consumerism cannot continue to be the driving force of our economy--from an environmental, health, and societal perspective--we can't afford it.
But what will be the final wake up call? I don't see a mandate coming too soon from John Q Public. We're in an environment now where people want tax cuts
and they want government services (hence lack of progress in revamping social security). To answer my own question, I think it will be health care. When the middle class is finally squeezed out from access--then something will happen.