[Auracle]

They’re down to hundreds a month, now, with a coupon.

I can’t say I disagree with insurance not being willing to pay those costs (apart from diabetes patients etc.). I bet a large part of the reason you can get the name brands cheaper now is because they did the math they’d make more that way than they could squeeze out of insurance companies.

Also, on a personal level it rubs me the wrong way to have my insurance premiums go towards something that people could just do themselves, from something they did to themselves. I know many will disagree, of course, and there are other examples (say, lung cancer treatments) that are similar.

[toomuchtodo]

> Also, on a personal level it rubs me the wrong way to have my insurance premiums go towards something that people could just do themselves, from something they did to themselves. I know many will disagree, of course, and there are other examples (say, lung cancer treatments) that are similar.

Our Obsession With Personal Responsibility Is Making Us Sick - https://jacobin.com/2026/02/health-inequality-individual-res... - February 6th, 2026

[cogman10]

> lung cancer treatments

A fairly large portion of lung cancer patients didn't "do it to themselves" (about 20% and rising).

It remains to be seen how vaping impacts lung cancer,

I don't like the idea of finding reasons to penalize people for predicable life decisions that lead to treatment needs. Insurance companies have a lot of resources to make those predictions and if unshackled they aren't afraid of using them. Making construction workers, miners, or truck drivers pay more (or be denied outright) for insurance because their job has negative health effects would be bad for society.

[peyton]

They need to be in a separate risk pool. It isn’t a penalty.

[tombert]

I personally think that overeating is an addiction, not a moral failing, and is often the side effect of other mental illnesses.

I don't do this as much as others, but as someone who has suffered from Major Depressive Disorder [1], it can be really easy to eat your feelings away. When I've had really bad depressive episodes, I don't want to cook, I don't want a fucking salad, I mostly just want to feel bad about myself and I end up getting a huge meal at Taco Bell and sadly eating that. Doing that one day isn't that bad. Even doing that two days isn't that bad, but when you have a long extended depressive episode, it can easily become a pattern of weeks where you're getting unhealthy fast food every day.

I know a lot of people act like depression is a moral failing as well [2], but I personally don't think that, and it feels like obesity can be a symptom of major depression. If you ever watch "My 600lb Life", you'll see that a lot of the people on there are really going through serious mental disorders and/or dealing from PTSD from sexual abuse, and the overeating can come as a result from that.

I guess I just feel like it's reductive to say "they did this to themselves". The human brain and human psychology are complicated and irritating.

[1] Fortunately my current set of meds has really helped...medical science is pretty cool sometimes!

[2] Not saying that you said that, to be clear.

[xp84]

If losing the weight is good for them, isn’t it possible that it’s not just the humanitarian thing (which I know is a useless argument to make to the soulless ghouls who run insurance companies anyway) but also the economically right choice for them, to avoid paying for their worse health problems later?

[sowbug]

People with high blood pressure could just try harder to relax, too.

[tpmoney]

> Also, on a personal level it rubs me the wrong way to have my insurance premiums go towards something that people could just do themselves, from something they did to themselves.

The usual note for this is your insurance premiums were already going towards that, just indirectly by way of paying for heart disease treatments, diabetes management and other secondary effect of obesity.

But I'd also like to propose that "could just do themselves" is carrying a lot of assumptions that may not hold for any individual. A few years back now I started a medication with the side effect of appetite suppression, and I learned something about myself. To the best of my ability to recall, I had never before starting that medication not been hungry. "Full" to me was a physical sensation of being unable to fit more food physically in my stomach, but even when I was "full" I was hungry. Luckily for myself as a teen and young adult I had an incredibly high metabolism. I could eat 3 meals a day, 3-4 bowls of cereal and milk as an "afternoon snack" after school and some late evening snacks while watching TV and I still was in the "almost underweight" category. It was in this context, a time when I could go to a fast food restaurant and order two meals just for myself and stay well inside a healthy weight range that I learned to eat as an adult. Eventually though, the metabolism slowed down, and I started packing on weight but the hunger never subsided. Oh sure, as I got older the idea of and ability to eat an entire pizza by myself slowly went away, but hungry was always there, so I was still always eating and always eating more than I should have.

And I did manage to lose weight on my own many times. Through extremely strict self control and portion control, multiple times I managed to lose 25, 30 even 50lbs, one painstaking week at a time. Every day was strict tracking and weighing of everything I ate, and many days were hard battles of "I know I'm hungry, but I've already hit my limit for the day, so I can't eat more", and going to bed extremely hungry with the hope that when I woke the next morning that feeling would have subsided a little. And it worked each time, until inevitably something happened to disrupt the routines and habits built over the months. Maybe it was a set of family emergencies that had me eating on the run, unable to properly monitor everything and adding some "stress eating" on top of it. Maybe it was running into "the holidays" where calories are cheap and abundant even if you are still keeping track. And sometimes it was just being unable to sustain the high degree of willpower it required to keep myself on the schedule. And what takes month of carefully losing 1lb a week to do only takes a month or two to almost completely undo.

Hunger is probably the closest thing I've ever experienced to an addiction. I've thankfully never had to battle an addiction for anything else, but when it comes to hunger that eternal gnawing was ever present and the more weight I lost by sheer force of will, ever distracting. If the idea popped into my head after lunch that "I'd like a snack", it was an idea that would not leave my head until either I'd given in and gotten a snack or forced myself to not give in and waited until dinner. But that forcing meant dedicating ever larger parts of my mental energy away from my work and tasks at hand to just convincing myself to not go get the snack. And worse, when the time for dinner finally came, I was already feeling "hungry" on top of my normal hunger state, so often not eating the snack just meant delaying the excess consumption to dinner or having to continue that fight at dinner. If it sounds exhausting, in a lot of ways it was. But of course, like you said I can "just do" this. It's simple CI < CO math. And yet it never stuck, in part because unlike a lot of other unhealthy habits you can pick up in your life, you cant just not eat. Yes you can eat different things, or eat healthier, both of which can help with weight problems, but you can't stop eating. You have to eat, the hunger is always there and the same thing the hunger wants is the same thing you NEED to literally survive.

But that medication with its appetite suppressant effect was a game changer for me. For the first time in over 30 years, I actually felt full. Not physically stuffed, but "done eating". I could eat a small lunch and think to myself "that was good, and I feel satisfied". For the first time, when the idea of an afternoon snack popped into my head, I could remind myself that dinner was in 2 hours and I needed to make sure I had room to eat that so the snack could wait, and that would be the end of it, no fight necessary because the hunger wasn't gnawing at me the whole time. When I first started, I was concerned that the medication was giving me anxiety attacks because about 6PM every day, I'd start getting this feeling of my stomach tying itself in knots, and this sensation of "needing something". And after a week or so it occurred to me that what I was feeling for the first time in my life was the feeling of transitioning from having been full and satiated to being hungry again. I'd never not been hungry before. And I know that sounds insane, because it sounded insane to me then. Before taking the medication if you'd asked me if I know what it felt like to be full or to not be hungry I would tell you that I did. But apparently I didn't, and I didn't know that until I started that medication. And for the first time since the weight started coming on, the weight I've lost is staying lost.

So yes, you can "just" eat better and less and control your portions and not eat so much. But from personal experience, it's a hell of a lot easier to have that will power when your body is giving you the right signals and isn't constantly pushing you over the limits.

[tombert]

I think I know this feeling well.

At the end of 2023 and the beginning of 2024, I lost about 60lbs, and it was a basic calorie counting thing. For me, it wasn't too hard; I was able to get used to the hunger and after about a month the feeling of wanting to eat all the time was somewhat tolerable.

In May of 2024, I started taking Pristiq, and one of the side effects is a huge increase in appetite. Like you said, I would feel "full" in the sense that my stomach wouldn't fit anymore matter, but I was always hungry and pretty much perpetually craving sweets. I would get a whole large pizza for lunch, a large meal at Popeyes for dinner, and chase it down with snack cakes, and I would still be "hungry" the entire time.

I managed to undo all the progress I had made with my dieting and a bit extra, and it was kind of weird. It's not really "hard" to know what to do. Obviously everyone knows to eat less processed food, focus more on protein and fiber, etc, but despite me "knowing" this, it was strangely hard to actually do it.

I'm very thankful that I found out about Metformin. I'm not diabetic and never have been, but it's prescribed off-label for weight loss, and according to my doctor it can be useful in the particular case of "canceling out the appetite-increase from medication", and to my surprise it worked shockingly well. I'm still not quite down to my diet weight yet, but I'm down about 30lbs in the four months I've been taking it, and I don't really feel hungry all the time. I still enjoy eating unhealthy food, but food is considerably more transactional now: I eat food because I need energy to survive. I budget about 200 calories lower than what my smartwatch says I burn during the day. It's much easier to treat food as a more utilitarian necessity.

If anyone here is in the unfortunately situation of not having their insurance covering GLP-1 medication, I highly recommend seeing if you can get your doctor to prescribe metformin. It's been out of patent for decades and cost on the order of ~$5 a month [2] and there are very few side effects [2], so it's a relatively low-risk experiment.

[1] Not a referral link https://pharmacy.amazon.com/Metformin-Generic-Glucophage-Ext...

[2] And potential benefits apparently! https://www.health.harvard.edu/blog/is-metformin-a-wonder-dr...