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Why "Too Expensive" Keeps Winning Against a Disease That's Costing Us Billions

That's the tension running through this whole episode. Dr. Doug Maready has spent nearly two decades wrestling with that question, not from behind a desk, but in the exam room with actual patients. He's an internal medicine and obesity medicine physician practicing in Mesa, Arizona, and the founder of Maready Medical, now part of Forte Wellbeing. His guiding philosophy is straightforward: obesity is a disease, it responds to treatment, and skipping treatment is often the pricier path in the long run. That stance has earned him a seat at the table on obesity policy in Arizona, where he serves as president of the Arizona Obesity Organization, stays active with the Obesity Medicine Association, and regularly weighs in through Arizona media on coverage and access issues.

In this episode:

  • The $11 Billion Question: What Obesity Really Costs Us
  • The Real Math Behind GLP-1 Coverage
  • Medicare Access vs. Medicaid's State-by-State Challenge
  • Why Treating Obesity Shouldn't Need an ROI
  • Private Insurance, HRAs, and the Fight for GLP-1 Coverage
  • Tax Benefits for Obesity Treatment and Weight Loss
  • Making Obesity Coverage a Reality
  • Takeaways and the Case for Broader Access to Treatment

Together, we unpack what obesity actually drains from state budgets and the broader healthcare system, why securing GLP-1 coverage remains such an uphill climb across Medicare, Medicaid, and private insurers, and why there's still such a disconnect between labeling obesity a disease and treating it like one. Dr. Maready brings a dual perspective, blending the policy landscape with what he's witnessing firsthand in patient care, which grounds the statistics in something more tangible.

You'll come away with actionable takeaways, whether you're building a case for your employer's HR team or advocating for change at a broader policy level. Catch the full conversation to get the complete picture on what's really driving the cost of obesity care and where things can go from here.

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