I read with interest your editorial on the failures in obesity management in the UK (4 April). I would suggest that the problem is wider than the scope addressed. Obesity is not simply correlated with poverty. In children, it is almost exclusively a disease of poverty. We simply do not see affluent children suffering in this way. Given that the rates in children are already higher than in adults and climbing, this must be addressed to prevent a social and economic tragedy in the future.
The magic bullet problem is not restricted to jabs and pills. Obesity surgery – taking away the patient’s free will to compel them to eat a severely calorie restricted diet via surgical ablation of parts of the gastrointestinal tract – is an objectively monstrous intervention and yet has slipped under the ethical radar and is widely accepted because, to some degree, it can work (with many, many caveats).
