It is a very well written thoughtful post and I do appreciate the OPs perspective
However:
I was, pretty much bullied for not wanting to be only 1lb over underweight by weigh watchers. When I didn't want to reduce my goal weight further to a new goal weight, once I reached that first goal weight I was KICKED OUT OF MY MEETING.
I know other people who have been encouraged to have chaotic relationships with food and weight through another "weigh loss for the globe" organisation and one that progressed to a full ED and was hospitalised all the while being praised and enabled by the group/org
On WLIs I have been able to stop and maintain whenever I've felt I needed to. Even if I hadn't yet reached some BMI goal/ideal This has helped me to adjust to the weight loss. There has been zero pressure from my provider like there was in traditional groups. I have only tried one provider
I have done it very slowly as I'm in more control than ever before. I never eat below 1400cals and I lose a max of 2lbs /week when I'm not maintaining. I've always been able to lose, but more chaotically (lose 4, gain 2, lose 3, gain 1 sort of thing). It's steady and consistent on WLI. Ive also never been able to maintain, I sort of rebel and go F-it. WLIs have given me head space for maintenance.
There is ABSOLUTELY a huge scope for abuse
Particularly as the users are already a group who have abusive relationships with food
But for me, WLIs have been the cure for the food abuse - extreme dieting yo yo, not another tool.
It DEFINITELY needs to be tightened up!
For example I believe that anybody needing the HIGHER doses should have to have a face to face consultation.
It should not be the default that you go up a dose each month.
There should be lower doses available for maintenance. As so many of us are out here microdosing off label for maintenance anyway. And the prescribers know this but the prescribing guidelines haven't caught up yet.
I'm not at all disregarding the OPs ED experiences or concerns. There are definitely some providers using the toxic tactics of the traditional diet groups such as promoting users who had dramatic fast weight losses.
But it's like GOOD fillers or Botox: you only SEE the bad results. The good results are people you think went au naturale!