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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]We didn’t have this obesity problem 30 years ago. Cook your food. Stop buying processed food.  Stop wanting to use medication as a crutch. Pay $1K/month to get it. You want insurance to pay, right. That’s what you really meant.  Stop stuffing your face. Really exercise. Really. [/quote]

another super ignorant and uneducated post. Food and lifestyles have changed dramatically over the past 30 years. Yes, of course I want insurance to pay. Why would I not? By your logic insurance should not pay for any medications. They are just crutches and quick fixes after all.[/quote]

You just said the same thing and then I added the excuse in the end. Tomatoes haven’t changed in 30 years. Maybe buy some of those instead of stuff that has 10,000 ingredients.[/quote]

When did we start genetically modifying our veggies and fruits?[/quote]

If you’re talking about the current working definition of GMO, genetically engineered tomatoes were first sold in 1994, though it isn’t correct to say that tomatoes haven’t changed since then.

Regardless of whether tomatoes have changed or not, the argument that Americans should just stop buying heavily processed foods and buy more fruits and vegetables in order to address obesity is akin to telling people to just walk everywhere to stay in shape. It’s a facile argument and unrealistic in our society. There are food deserts and affordability to consider, plus cultural differences and genetics. But it is primarily meant as an insult in any case.

Many people can and have changed their eating habits for the better permanently, but on a societal scale the US has a significant and costly obesity problem. It won’t be fixed by telling people to buy tomatoes. If lots of people lose weight and improve their health outcomes via meds, that is fantastic for all of us. And since these meds reduce cravings and mindless snacking, they make it easier to “just eat a tomato.” Win win.[/quote]

Effectively zero people that participate in this forum live in a food desert. Exactly zero of the people asking when these branded drugs will be available for the purpose OP is asking live in a food desert. It’s insulting to appropriate that harsh reality. People asking for these novel drugs for garden variety obesity just don’t want to change and do the work. Expecting 40% of the US population to solve a mostly self inflected problem through novel pharmaceutical intervention is incredibly dumb. [/quote]

The post you quote is perfectly clear that it is referencing American society in general. Your appropriation comment is laughable.

Fortunately these novel drugs won’t be novel for long; this has been widely covered in the media. Several obesity drugs are in the pipeline in addition to those already available. In less than 10 years patents will start expiring and generics will flood the market.

Regardless of your opinion of people who use or will use these drugs, they are extremely clinically valuable and have improved and will continue to improve the quality of life for millions of Americans. [/quote]

You do realize drug patents last 20 years, right?

That said, I do hope competition drives down prices and gives insurance companies the ability to negotiate.  [/quote]

A large number of people who had coverage for these drugs and have lost it, plus those whose coverage excludes the medications entirely, are turning to compounded versions of the medications. Shouldn't that be an incentive for the manufacturers to compromise on pricing to maintain their market share? I'm hoping that the increasingly widespread use of compounded versions will lead to more affordable prices in the near term. [/quote]

I wouldn’t count on it. Compounding is only legal (in some cases) because these drugs are in such shortage. There is huge unmet  demand, and scaling up production of injectables is projected to take time— measured in years, not months. For the last year, it’s been almost impossible to start brand name Wegovy because the starting doses were intentionally throttled. They are throwing everything they can at just maintaining the people who started before spring 2023.  Zepbound started as available, but my online weight loss support group is starting to report shortages in lower doses of that med too. And my best friend was switched off Saxenda to a maintenance dose (not starting dose) of Wegovy because Saxenda was impossible to find.

[b]And these drugs are only being prescribed in the US (and some in Britain) right now. [/b]The rest of the world is still waiting. I’d love prices to go down. But as long as demand is so much greater than supply, Adam Smith says it’s unlikely. [/quote]
They are available in Canada as well.[/quote]

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