{"id":300465,"date":"2025-11-22T01:46:15","date_gmt":"2025-11-22T01:46:15","guid":{"rendered":"https:\/\/www.newsbeep.com\/au\/300465\/"},"modified":"2025-11-22T01:46:15","modified_gmt":"2025-11-22T01:46:15","slug":"making-glp-1-weight-loss-drugs-cheaper-isnt-enough-to-address-americas-obesity-problem-heres-why","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/au\/300465\/","title":{"rendered":"Making GLP-1 weight loss drugs cheaper isn\u2019t enough to address America\u2019s obesity problem \u2013 here\u2019s why"},"content":{"rendered":"<p>The Trump administration is making a significant effort to reduce the cost of weight loss drugs. Its <a href=\"https:\/\/www.whitehouse.gov\/fact-sheets\/2025\/11\/fact-sheet-president-donald-j-trump-announces-major-developments-in-bringing-most-favored-nation-pricing-to-american-patients\" rel=\"nofollow noopener\" target=\"_blank\">agreement with pharmaceutical giants<\/a>, announced Nov. 6, 2025, <a href=\"https:\/\/www.statnews.com\/2025\/11\/06\/trumprx-weight-loss-drug-discounts-wegovy-zepbound\/\" rel=\"nofollow noopener\" target=\"_blank\">will reduce the monthly prices<\/a> of these medications by hundreds of dollars.<\/p>\n<p>For the past 25 years, I have <a href=\"https:\/\/cph.temple.edu\/directory\/david-b-sarwer-tug35552\" rel=\"nofollow noopener\" target=\"_blank\">treated people with obesity<\/a> and have <a href=\"https:\/\/scholar.google.com\/citations?user=4nlvoj4AAAAJ&amp;hl=en\" rel=\"nofollow noopener\" target=\"_blank\">developed and studied treatments<\/a> for the condition in both adults and adolescents. One major frustration of my work is the fact that <a href=\"https:\/\/doi.org\/10.1002\/oby.23556\" rel=\"nofollow noopener\" target=\"_blank\">evidenced-based treatments<\/a> for obesity are <a href=\"https:\/\/doi.org\/10.1016\/j.soard.2018.10.005\" rel=\"nofollow noopener\" target=\"_blank\">woefully underused<\/a><\/p>\n<p>These drugs, originally approved to treat Type 2 diabetes, <a href=\"https:\/\/theconversation.com\/drugs-that-melt-away-pounds-still-present-more-questions-than-answers-but-ozempic-wegovy-and-mounjaro-could-be-key-tools-in-reducing-the-obesity-epidemic-205549\" rel=\"nofollow noopener\" target=\"_blank\">mimic a natural hormone called glucagon-like peptide-1<\/a> that regulates  blood sugar and reduce appetite.<\/p>\n<p>In my view, by making GLP-1 drugs more accessible to patients, this agreement represents one of the most significant advances the federal government has made to address obesity, one of the country\u2019s <a href=\"https:\/\/doi.org\/10.3389\/fpubh.2025.1477401\" rel=\"nofollow noopener\" target=\"_blank\">most pressing public health issues<\/a>. However, this reduced price tag alone may not make a meaningful dent in rates of obesity in American adults without additional policy changes.<\/p>\n<p>Treating obesity<\/p>\n<p>The Centers for Disease Control and Prevention estimates that about 40% of adults in the U.S. \u2013 more than 70 million people \u2013 <a href=\"https:\/\/dx.doi.org\/10.15620\/cdc\/159281\" rel=\"nofollow noopener\" target=\"_blank\">have obesity<\/a>. Researchers and clinicians generally define obesity based on a measure called body mass index, or BMI, which is the ratio of a person\u2019s weight in kilograms to their height in meters, squared. <\/p>\n<p><a href=\"https:\/\/theconversation.com\/bmi-alone-will-no-longer-be-treated-as-the-go-to-measure-for-weight-management-an-obesity-medicine-physician-explains-the-seismic-shift-taking-place-208174\" rel=\"nofollow noopener\" target=\"_blank\">BMI is an imperfect measure<\/a>, to be sure,  but most medical organizations consider a person with a <a href=\"https:\/\/www.nhlbi.nih.gov\/sites\/default\/files\/media\/docs\/bmi_tbl.pdf\" rel=\"nofollow noopener\" target=\"_blank\">BMI greater than 30<\/a> to have obesity.<\/p>\n<p>Between television commercials, advertisements on social media and suggestions from family and friends, Americans are bombarded by approaches to losing weight. For many of these approaches, there\u2019s little to no evidence showing they successfully help people lose weight. However, extensive and rigorous research supports the use of GLP-1s for treating obesity. Studies show that these medications can reliably <a href=\"https:\/\/www.cochrane.org\/about-us\/news\/glp-1-drugs-effective-weight-loss-more-independent-studies-needed\" rel=\"nofollow noopener\" target=\"_blank\">help people lose about 15% of their body weight<\/a> in six to 12 months. <\/p>\n<p>            <a href=\"https:\/\/images.theconversation.com\/files\/703672\/original\/file-20251120-56-8wl6z8.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip\" rel=\"nofollow noopener\" target=\"_blank\"><img decoding=\"async\" alt=\"Tuna fish salad with lettuce, cherry tomatoes, cucumber, egg and pickled onion in eco paper box container.\" src=\"https:\/\/www.newsbeep.com\/au\/wp-content\/uploads\/2025\/11\/file-20251120-56-8wl6z8.jpg\" class=\"native-lazy\" loading=\"lazy\"  \/><\/a><\/p>\n<p>              Evidence-based approaches for weight loss include GLP-1 drugs, surgical treatment and behavior changes such as adopting a healthier diet.<br \/>\n              <a class=\"source\" href=\"https:\/\/www.gettyimages.com\/detail\/photo\/tuna-fish-salad-with-lettuce-cherry-tomatoes-royalty-free-image\/2153923295\" rel=\"nofollow noopener\" target=\"_blank\">Alexandr Kolesnikov\/Moment via Getty Images<\/a><\/p>\n<p>There are two other evidence based-approaches. <a href=\"https:\/\/doi.org\/10.1037\/amp0000517\" rel=\"nofollow noopener\" target=\"_blank\">Lifestyle changes<\/a>, such as consuming fewer calories and increasing physical activity, can help people lose about 5% of their weight in the same period of time. With surgical treatment, now referred to as metabolic and bariatric surgery, patients can achieve a <a href=\"https:\/\/doi.org\/10.1037\/amp0000550\" rel=\"nofollow noopener\" target=\"_blank\">loss of about 30% of their body weight<\/a> after about 18 months.<\/p>\n<p>Which of these treatment approaches is appropriate for a given person depends on their circumstances and is best discussed with their health care provider. But in my experience, <a href=\"https:\/\/doi.org\/10.1007\/s12325-025-03352-y\" rel=\"nofollow noopener\" target=\"_blank\">too few health care professionals refer their patients<\/a> to any of these therapies. <\/p>\n<p>Addressing the cost barrier<\/p>\n<p>According to a November 2025 poll from the Kaiser Family Foundation, <a href=\"https:\/\/www.kff.org\/public-opinion\/kff-health-tracking-poll-prescription-drug-costs-views-on-trump-administration-actions-and-glp-1-use\/\" rel=\"nofollow noopener\" target=\"_blank\">1 in 8 adults in the U.S. have tried a GLP-1 medication<\/a>. That may sound like a lot, but given that <a href=\"https:\/\/dx.doi.org\/10.15620\/cdc\/159281\" rel=\"nofollow noopener\" target=\"_blank\">more than 40% of American adults<\/a> have obesity, it may not be enough. <\/p>\n<p>In clinical trials, people taking GLP-1 drugs to treat obesity generally <a href=\"https:\/\/doi.org\/10.1001\/jamanetworkopen.2024.57349\" rel=\"nofollow noopener\" target=\"_blank\">maintained their weight loss for a year<\/a> if they stayed on the medication. However, participants in the trials did not have to pay for the medications. Research suggests that more than half of people using the drugs <a href=\"https:\/\/doi.org\/10.1002\/oby.70058\" rel=\"nofollow noopener\" target=\"_blank\">stop taking them after six months<\/a>, most often because they can\u2019t afford them.<\/p>\n<p>The federal government\u2019s deal with Eli Lilly and Novo Nordisk <a href=\"https:\/\/www.usatoday.com\/story\/news\/politics\/2025\/11\/06\/trump-medicare-coverage-weight-loss-drugs\/87122843007\/\" rel=\"nofollow noopener\" target=\"_blank\">aims to address this barrier<\/a>. <\/p>\n<p>GLP-1 drugs currently cost more than US$1,000 per month for people unable to get them covered by health insurance \u2013 and <a href=\"https:\/\/www.nbcnews.com\/health\/health-news\/fewer-1-5-large-companies-health-plans-cover-weight-loss-drugs-survey-rcna174345\" rel=\"nofollow noopener\" target=\"_blank\">many insurance plans do not<\/a>.<\/p>\n<p>According to the <a href=\"https:\/\/www.whitehouse.gov\/fact-sheets\/2025\/11\/fact-sheet-president-donald-j-trump-announces-major-developments-in-bringing-most-favored-nation-pricing-to-american-patients\/\" rel=\"nofollow noopener\" target=\"_blank\">Nov. 6 White House announcement<\/a>, starting in early 2026, certain GLP-1 drugs covered by the agreement will be available for <a href=\"https:\/\/www.cnn.com\/2025\/11\/06\/politics\/weight-loss-drugs-medicare-deals\" rel=\"nofollow noopener\" target=\"_blank\">$350 per month or less<\/a> through an online marketplace the government plans to launch.<\/p>\n<p>Some drugs will be as cheap as $150, according to the announcement. Companies will also drop the amount that Medicare and Medicaid pay for them, and certain Medicare patients would be able to access them with a $50 co-pay. <\/p>\n<p><a href=\"https:\/\/www.usatoday.com\/story\/money\/2025\/11\/17\/novo-nordisk-cuts-prices-ozempic-wegovy\/87269159007\/\" rel=\"nofollow noopener\" target=\"_blank\">These prices are still in flux<\/a>, news reports suggest. However, for most Americans, <a href=\"https:\/\/www.usatoday.com\/story\/news\/politics\/2025\/11\/06\/trump-medicare-coverage-weight-loss-drugs\/87122843007\/\" rel=\"nofollow noopener\" target=\"_blank\">paying even $150 a month<\/a> for a single medication remains a budget buster. That\u2019s especially true given that <a href=\"https:\/\/doi.org\/10.1007\/s13679-020-00398-7\" rel=\"nofollow noopener\" target=\"_blank\">people from lower socioeconomic groups<\/a> experience higher rates of obesity and often have other related health conditions that require costly medications.<\/p>\n<p>These costs are not temporary. Most patients with obesity and related health problems will likely need to use these medications indefinitely. According to emerging research, people who stop taking them typically <a href=\"https:\/\/doi.org\/10.1111\/dom.14725\" rel=\"nofollow noopener\" target=\"_blank\">regain the weight they lost<\/a>. Realistically, very few people who take GLP-1 drugs can maintain their weight loss with lifestyle changes alone.<\/p>\n<p>            <a href=\"https:\/\/images.theconversation.com\/files\/703669\/original\/file-20251120-56-9144jc.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip\" rel=\"nofollow noopener\" target=\"_blank\"><img decoding=\"async\" alt=\"A pile of injectors for GLP-1 weight loss drugs\" src=\"https:\/\/www.newsbeep.com\/au\/wp-content\/uploads\/2025\/11\/file-20251120-56-9144jc.jpg\" class=\"native-lazy\" loading=\"lazy\"  \/><\/a><\/p>\n<p>              Studies suggest that patients who use GLP-1 drugs for weight loss will likely have to use them indefinitely.<br \/>\n              <a class=\"source\" href=\"https:\/\/www.gettyimages.com\/detail\/photo\/large-group-of-injectors-dosing-pens-for-royalty-free-image\/2025837738\" rel=\"nofollow noopener\" target=\"_blank\">aprott\/iStock via Getty Images Plus<\/a><\/p>\n<p>Beyond cost<\/p>\n<p>The reduced pricing for GLP-1 drugs is an important first step in increasing affordability and access to these treatments. Given that the food environments people live in make it difficult to make healthy choices, I believe that this move will only meaningfully benefit the health of all Americans if it is combined with other policy changes.<\/p>\n<p>While several countries have a <a href=\"https:\/\/impact.economist.com\/health\/obesity-response-index\/global\" rel=\"nofollow noopener\" target=\"_blank\">national plan to prevent and treat obesity<\/a>, the U.S. does not. Instead, American public health policies are <a href=\"https:\/\/doi.org\/10.1002\/osp4.621\" rel=\"nofollow noopener\" target=\"_blank\">largely set state by state<\/a>. They often include strategies such as free school meals for children or more robust insurance coverage for treating obesity and related health conditions. However, most such policies are often too narrow to have significant benefits at the population level. <\/p>\n<p>Broader policy shifts and legislation targeting obesity prevention could move the needle. <\/p>\n<p>For example, research is increasingly showing that <a href=\"https:\/\/doi.org\/10.1007\/s13668-024-00517-z\" rel=\"nofollow noopener\" target=\"_blank\">ultraprocessed foods<\/a> play a role in <a href=\"https:\/\/www.thelancet.com\/series-do\/ultra-processed-food\" rel=\"nofollow noopener\" target=\"_blank\">promoting weight gain<\/a> and potentially other diseases, such as <a href=\"https:\/\/doi.org\/10.1001\/jamaoncol.2025.4777\" rel=\"nofollow noopener\" target=\"_blank\">colorectal cancer<\/a>. Legislators could draw on that research to better regulate these foods \u2013 for example, to limit the use of certain especially harmful ingredients, to restrict marketing of ultraprocessed products, or to limit their inclusion in school meals.<\/p>\n<p>Another policy change that may help would be to <a href=\"https:\/\/doi.org\/10.3389\/fpubh.2023.1205880\" rel=\"nofollow noopener\" target=\"_blank\">build more extensive nutrition education<\/a> into the training that <a href=\"https:\/\/theconversation.com\/diet-related-diseases-are-the-no-1-cause-of-death-in-the-us-yet-many-doctors-receive-little-to-no-nutrition-education-in-med-school-236217\" rel=\"nofollow noopener\" target=\"_blank\">medical students<\/a> and other health care providers receive. This may better position the next generation of clinicians to help their patients make the healthiest choices to maintain their weight and health.  <\/p>\n<p>These and other policy changes will be critically important in efforts to reduce the rate of obesity among Americans in the future.<\/p>\n","protected":false},"excerpt":{"rendered":"The Trump administration is making a significant effort to reduce the cost of weight loss drugs. Its agreement&hellip;\n","protected":false},"author":2,"featured_media":300466,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[64,63,137,490],"class_list":{"0":"post-300465","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-medication","8":"tag-au","9":"tag-australia","10":"tag-health","11":"tag-medication"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/300465","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/comments?post=300465"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/300465\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media\/300466"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media?parent=300465"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/categories?post=300465"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/tags?post=300465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}