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Experts estimate that about one third of insurance companies cover all FDA-approved weight loss medications, another third cover some drugs in some cases, while the remaining third do not cover any pharmaceutical therapy for obesity 3. Weight loss significantly improves health outcomes for the vast majority of patients, but insurance companies may not see those savings for years to come. So, profit-driven insurance companies, especially those with high patient turnover, are often hesitant to cover preventative treatments like weight loss medications. The US Preventative Task Force repeatedly fails to recommend pharmaceuticals as an advisable treatment for obesity in the primary care setting 5. So, safety concerns in the absence of proven efficacy act as another barrier to more-universal insurance coverage. Finally,weight loss medications have a reputation problem too. Doctors and insurance companies both remember past diet pill debacles and remain overly-cautious about encouraging their use 3.

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