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Labour should invest in weight loss medications immediately

643 replies

HowToSaveTheNHS · 06/07/2024 11:49

AIBU to think the Labour government should seriously consider rolling out weight loss drugs to the obese population, to tackle obesity, diabetes and cut NHS waiting lists? Traditional public health measures to tackle obesity are not working.

We spend so much money treating disease associated with obesity and it’s only going to get worse as increasing numbers of people are living for decades with multiple health conditions associated with obesity. Even dementia’s leading cause is Type 2 diabetes.

Looking at the Mounjaro thread on here, huge numbers of Mumsnetters are successfully losing weight and improving their health. But people on lower incomes won’t have access because the drugs are expensive.

A course of drugs for a year will surely be money well spent if we can reduce heart disease/ diabetes/ dementia/ cancer etc… even hypertension.

OP posts:
Thread gallery
14
Sondheimisademigod · 06/07/2024 17:58

And @HowToSaveTheNHS , investment carries risk, which is massive in the NHS. In fact, as a health economist, you'll know that the nhs was established on the basis the good, preventative public health was also introduced. Hospitals were to there for surgery and really poorly.
Well yes, p h is much better than in 1948, but you must agree, that sociologically and psychologically, when something is free, it is valued initially, then taken for granted, as the nhs and p h is now.
Smoking, drinking and sti rates are not brilliant, and despite increasing the price of tobacco and alcohol, it is not a deterrant, even to those who can afford it least. P H messages about their effects don't work.

So, it's not as simple as invest and save when individuals are involved, particularly as those that would 'benefit' from the drugs represent a small per centage of the 'obese' population, and thus a smalker per centage of the overall population

MounjaroUser · 06/07/2024 17:57

There's talk in the US of the medical insurance companies accepting it because of the knock on effects with fewer weight-related problems. The issue there seems to be that people switch insurance companies quite frequently so one company might fund the drugs then another reap the benefits.

HowToSaveTheNHS · 06/07/2024 17:53

This is the current NHS pilot if anyone is interested … this is only for people over 35 BMI with an obesity related health condition

https://www.gov.uk/government/news/new-drugs-pilot-to-tackle-obesity-and-cut-nhs-waiting-lists

OP posts:
spikeandbuffy · 06/07/2024 17:50

@flashspeed what do you mean by taking 10 mins?
I do 30-60 mins spin, netball (30-45 mins) and lift weights (20-45 mins)
I don't see exercise as pointless, it's for my heart, lungs, mental health and I enjoy it, I just don't see it as for weight loss. Plus netball has the social side to it too

I think a lot of people see obese as struggling to walk, unable to put socks on etc when obesity is also people that run, play sports, lift weights etc

HowToSaveTheNHS · 06/07/2024 17:50

Sondheimisademigod · 06/07/2024 17:44

Do you have evidence from other countries where this has been tried?

I haven’t

The first step the government would need to do is an appraisal with cost benefit analysis. My opening post didn’t go into detail over this, as I was being simplistic saying they should invest as I was interested in the public reaction if I’m honest (I suspected people would be strongly against).

But of course they would need to do it properly … run a pilot, collect evidence and IF it works roll it out.

OP posts:
JohnTheRevelator · 06/07/2024 17:49

Agree. But I guarantee your opinion will not be popular OP. So many people think using weight loss drugs is 'cheating' or 'lazy'.

Scorchio84 · 06/07/2024 17:48

For the people saying "they'll just pile it all back on when they come off it" would it be the case that the obese person would be so used to eating smaller portions & avoiding junk food over the course of their treatment that their body & brain have been "reset" as it were so they'd carry on as if they were still on it? I know when I'm on an extreme diet for any length of time my stomach feels as though it's shrunken (most likely it hasn't) & my cravings for junk goes out the window, it'd be interesting to see in a year or two what happens when you actually do come off it, also the weight loss would surely be motivation to keep the weight off? It's a complex isssue

MerryChristmasToYou · 06/07/2024 17:47

@montysma1 , it's Tim Spector not Phil Spector
Tim Spector - Wikipedia
Phil Spector - Wikipedia

daliesque · 06/07/2024 17:47

AutismHelp1980 · 06/07/2024 13:11

Doesn’t ozempic cause blindness?

No, that's masturbation.

HowToSaveTheNHS · 06/07/2024 17:46

StickItInTheFamilyAlbum · 06/07/2024 17:35

As a health economist I think in terms of costs v benefits. I don’t believe moral judgment has any place in this at all.

Do you have a back of the envelope calculation for the savings over time vs. plausibility of funding it, at the necessary scale, in the near term? NB: I agree with setting aside moral hazard etc. I'm interested in costing the benefits vs adverse events. (I'm intrigued by the people who report reduction in alcohol consumption, the drive to gamble, the use of pain medications etc.)

I don’t and I would not do a quick impact analysis because health economics is complex and a lot of assumptions and evidence would need to be collected. It might be too early to calculate healthy life expectancy- I don’t know without examining the evidence base.

The costs and benefits are so far reaching, and interrelated with other factors (eg smoking) so you need to be sure you’re not overestimating effects.

It would be a 2+ year study to do it properly. I do hope there are plans in place

OP posts:
Sondheimisademigod · 06/07/2024 17:44

HowToSaveTheNHS · 06/07/2024 17:40

I’m an economist! The approach is called invest to save and it does make economic sense. If the evidence shows that savings are likely to far outweigh the costs in the medium term, it is economically advantageous to pursue such a policy. There is likely to be increased economic output from reduced sickness (arising from physical and mental health impact of reducing obesity).

Do you have evidence from other countries where this has been tried?

StickItInTheFamilyAlbum · 06/07/2024 17:41

Biggleslefae · 06/07/2024 17:19

@StickItInTheFamilyAlbum
some online suppliers are offering 2 years worth of transition rather than cutting people off cold
Could they be looking to offload their stock before the US lawsuits result in some kind of ban?
(or have I misunderstood you?)

I read about it here.

https://www.mumsnet.com/talk/weight-loss-injections/5107426-continuing-mounjaropart-15?

I don't think they give someone 2 years stock in one go, it's more that they'll support them over time if they want to purchase it for maintenance.

I've no idea what the outcome of any lawsuits might be.

Continuing Mounjaro...part 15 | Mumsnet

*^Please note: Mounjaro will only be be prescribed initially if your BMI is above 30. If you have additional health conditions you can get the medicat...

https://www.mumsnet.com/talk/weight-loss-injections/5107426-continuing-mounjaropart-15

HowToSaveTheNHS · 06/07/2024 17:40

Myblindsaredown · 06/07/2024 17:26

I think this thread perfectly highlights the issue Labour faces. Some people think they are going to come in and start throwing money at everything, and not tax them any more, more teachers, reduced waiting lists with everyone offered overtime, gp appts avail, more police, cheap energy, less migration. Christ let’s give everyone free weight loss drugs!

Where are the billions and billions to pay just for the core pledges, what do people think will happen, “tax everyone else but not me I’m skint. “

it’s terrifying how little some people understand of the economy they really need to teach it fully in school.

I’m an economist! The approach is called invest to save and it does make economic sense. If the evidence shows that savings are likely to far outweigh the costs in the medium term, it is economically advantageous to pursue such a policy. There is likely to be increased economic output from reduced sickness (arising from physical and mental health impact of reducing obesity).

OP posts:
MounjaroUser · 06/07/2024 17:39

Myblindsaredown · 06/07/2024 17:28

No 9t wouldn’t, as people over eat for many reasons, and if you stop you put it back on.

People overeat for many reasons - yes, of course they do. Mounjaro removes the obsessive "food noise" which many, many overweight people know about. The way I'm looking at it is I'll use it until I'm at a healthy weight and I hope in that time I will have learned new ways of eating. For instance, I eat between 12 and 6 now - that should be a habit in six months' time. Same with alcohol - I went from having a couple of glasses of wine every night to never giving it a thought. I don't have it in the house now as it never occurs to me to buy it. I'm hoping that remains a habit, too.

StickItInTheFamilyAlbum · 06/07/2024 17:35

As a health economist I think in terms of costs v benefits. I don’t believe moral judgment has any place in this at all.

Do you have a back of the envelope calculation for the savings over time vs. plausibility of funding it, at the necessary scale, in the near term? NB: I agree with setting aside moral hazard etc. I'm interested in costing the benefits vs adverse events. (I'm intrigued by the people who report reduction in alcohol consumption, the drive to gamble, the use of pain medications etc.)

HashtagShitShop · 06/07/2024 17:31

HowToSaveTheNHS · 06/07/2024 17:28

WeGovy and Mounjaro are the two used in the U.K. ie by Mumsnetters. There is no problem with their supply - they are prescribed for obesity not diabetes. I’m not suggesting there are no supply problems with this medication but the ones used for obesity are completely separate.

Edited

Liraglutide is branded saxenda and victoza. It's also used for losing weight.

Myblindsaredown · 06/07/2024 17:28

MounjaroUser · 06/07/2024 17:27

The amount of money it would save is enormous. Being overweight affects people's health in so many ways.

I agree with you, OP. It should be allowed on prescription if someone is an unhealthy weight. I've been using Mounjaro for six weeks or so and the difference has been incredible. No alcohol, nothing sweet, no thinking about food and able to make good decisions. I've lost just over 1 kg per week, so not in the realm of some who've lost a lot more rapidly, but it's taken that obsessive edge off food and wine and that's been miraculous for me.

No 9t wouldn’t, as people over eat for many reasons, and if you stop you put it back on.

HowToSaveTheNHS · 06/07/2024 17:28

HashtagShitShop · 06/07/2024 16:59

My mum is diabetic and was on liraglutide before everyone went crazy for it for losing weight. She can't get hold of it and no chemist in our county has and they've been trying to get it in for the best part of a year. She's had none in that time and had to go to other tablet based meds.

They already can't keep up with demand. The NHS can't get it but private patients spending hundreds per injection pen somehow can (!!)

WeGovy and Mounjaro are the two used in the U.K. ie by Mumsnetters. There is no problem with their supply - they are prescribed for obesity not diabetes. I’m not suggesting there are no supply problems with this medication but the ones used for obesity are completely separate.

OP posts:
Stripesandchecks543 · 06/07/2024 17:28

Arewealljustloosingtheplot · 06/07/2024 17:14

Because more of us make shit decisions?

because our culture promotes crap food?

Because some brits are lazy?

im not interested in the ‘convenience foods are cheaper’ bullshit. Because it’s just not true.

I never said “convenience” foods are cheaper., because I don’t believe they are.

If you have money for gas or electricity, decent basic cookware, a few spices, and a functioning kitchen, which not everyone has.

Convenience foods are quick to prepare and bought by many people who work long hours on low wages. Therefore, as Brits work very long hours compared with many countries in Europe, that is bound to have an adverse effect. .

So long working hrs is one factor that contributes to obesity outside of personal choice.

As is the fact that people are influenced by the culture of their country.

And do you really think that there are more lazy Brits than lazy French or Italians? That doesn’t quite add up does it? Especially given that the welfare state in the uk is shaved pretty thin compared with France.

MounjaroUser · 06/07/2024 17:27

Myblindsaredown · 06/07/2024 13:09

Do people think Labour won and now have a magic money tree or something?

The amount of money it would save is enormous. Being overweight affects people's health in so many ways.

I agree with you, OP. It should be allowed on prescription if someone is an unhealthy weight. I've been using Mounjaro for six weeks or so and the difference has been incredible. No alcohol, nothing sweet, no thinking about food and able to make good decisions. I've lost just over 1 kg per week, so not in the realm of some who've lost a lot more rapidly, but it's taken that obsessive edge off food and wine and that's been miraculous for me.

Myblindsaredown · 06/07/2024 17:26

I think this thread perfectly highlights the issue Labour faces. Some people think they are going to come in and start throwing money at everything, and not tax them any more, more teachers, reduced waiting lists with everyone offered overtime, gp appts avail, more police, cheap energy, less migration. Christ let’s give everyone free weight loss drugs!

Where are the billions and billions to pay just for the core pledges, what do people think will happen, “tax everyone else but not me I’m skint. “

it’s terrifying how little some people understand of the economy they really need to teach it fully in school.

EsmaCannonball · 06/07/2024 17:20

I know someone who put on weight due to a serious degenerative health condition, who needs to lose that weight for an operation but is finding it a real struggle due to lack of mobility (is on the cusp of needing a wheelchair). She is exactly the kind of person weight loss injections are designed to help but hasn't been offered them, or any other kind of help really. In fact, I know a few people who have put on weight because of their genuine inability to exercise and none of them have been offered any help.

Biggleslefae · 06/07/2024 17:19

@StickItInTheFamilyAlbum
some online suppliers are offering 2 years worth of transition rather than cutting people off cold
Could they be looking to offload their stock before the US lawsuits result in some kind of ban?
(or have I misunderstood you?)

HowToSaveTheNHS · 06/07/2024 17:19

OldTinHat · 06/07/2024 15:44

@HowToSaveTheNHS So to be clear OP, you are a health professional working for the NHS?

Would you mind sharing your weight, height and BMI with us, please? Just out of interest.

Also, out of interest, do you follow NHS guidelines about smoking and drinking? Do you cook from scratch and avoid UPF? Do you exercise for at least 30 minutes several times a week?

Because I would really, really like to know. To put things into perspective.

I have lots of other questions but those can follow after your replies.

Wow. Why so aggressive?! Why these questions? Are you wanting to judge me if I’m overweight or obese?

I will indulge you (but you probably won’t believe me!). I am just over a healthy BMI, but I’m tall and muscular. I am very active, I cycle everywhere. I don’t work for the NHS but in public health. I spent 4 years involved with obesity and diabetes policy and programmes a few years ago (working in partnership with the NHS). I have moved into mental health in recent years and am about to change policy area again.

If I had said I was obese and inactive would that have changed your view of my perspective? If you answer yes, then I think that’s appalling as obese people are the experts … they have the lived experience! They know more about healthy eating than anyone (trust me, I have interviewed so many!). They tend to be serial dieters and they don’t need education or cooking lessons!

As a health economist I think in terms of costs v benefits. I don’t believe moral judgment has any place in this at all. It’s disgraceful that the thread is full of such judgment. I view obesity in the same category as mental illness, gambling or alcohol addiction. It’s a disease that we should be prioritising in public health.

In the US, health insurers are prescribing these medications to the obese population. There is a trial in the NHS so it looks likely that they will be rolled out further once there is more economic evaluation. I have no inside information on this as I no longer work in the field, I’m just curious from a public policy perspective.

It seems to me the cost savings and benefits to the economy could be significant. 2 people close to me in their 50s are obese and both had heart attacks, they had 6 months full sick pay from their NHS jobs and now have ongoing health issues. If they had received meds in their 40s and kept the weight off, they’d be in a better position personally (both struggling to lose weight on SW/WW) and the taxpayer would have saved hundreds of thousands of pounds in sick leave (still ongoing) and ongoing medical care.

OP posts:
Biggleslefae · 06/07/2024 17:16

Snausage · 06/07/2024 16:55

These weight loss drugs are causing severe gall bladder disease, gastroperesis and blindness in a lot of people. There's a class action going on in the US.

I wasn't aware of that.
However, now that these products are out there there is a demand for medications which suppress cravings etc.
Demand + large profits to be made = big incentive for pharma to come up with better versions.
No?