Weight Loss Medications: Why Aren’t the Right People Getting Them?

Published on 24 May 2025 at 20:17

In recent years, weight loss medications have gained momentum, particularly with the emergence of newer drugs that show significant effects on body fat reduction and metabolic improvements. Yet, a new study reveals a troubling gap: most of the people who qualify for these medications aren’t receiving them.

The study, conducted by researchers at Northwestern University and published on Newswise, analyzed data from nearly 180,000 U.S. adults. It found that over 80% of individuals with obesity and related conditions—such as type 2 diabetes or high blood pressure—are not being treated with weight loss medications, even though they meet the clinical criteria.

Several factors contribute to this gap. First, many healthcare providers are still not prescribing these drugs regularly, despite FDA approval. Second, affordability remains a major barrier: most insurance plans do not cover these medications, making them inaccessible to many who could benefit from them.

Stigma also plays a powerful role. Some individuals avoid seeking medical help for weight management due to fear of judgment or past negative experiences with healthcare professionals. This stigma reinforces the under-treatment of obesity, despite its serious health consequences.

The study also reveals significant disparities. Low-income patients, as well as Hispanic and Black individuals, are even less likely to access these treatments, highlighting deep-rooted inequities in the healthcare system.

Addressing obesity requires more than just clinical tools—it calls for a multi-layered strategy that includes education, access, empathy, and cultural change. Medications can be helpful, but they must be supported by long-term changes in nutrition, physical activity, and social environments.

Source: JAMA Network