There are all sorts of perverse incentives in play. Many plans won't pay for weight loss drugs (obviously GLP-1s, but even beyond that) but will happily pay for gastric bypass, for one simple example.

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dd8601fn 3 days ago | parent [-]

A surgery happens once. Glp1s are forever.

$25k today or $15k/yr for 20 years?

	▲	FireBeyond 3 days ago \| parent [-]
		GLP1s don't or shouldn't cost $1K+/month. Gastric bypass surgery happens once. Many bypass patients require lifelong prescription nutritional supplements and all require lifelong lab monitoring. Ulcer risks increase severalfold. High risk of hernias, osteoporosis and complications thereof. It's not just surgery and no immediate cost. But then again, any of those issues are options for denial, so...