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West Virginia Faces Dilemma Over Weight Loss Medication Coverage

Patient Lory Osborn (left) holds Wegovy pens used in her treatment with Dr. Laura Davisson, director of the Medical Weight Management at West Virginia University in Morgantown, W.Va., Monday, Dec. 2,

Lory Osborn, a resident of West Virginia, shared her positive experience with the weight loss drug Wegovy, which helped her shed 75 pounds and significantly improve her health. However, concerns have arisen as the state decided to pause a pilot program covering weight loss drugs due to the high cost involved. This decision has left many patients, including Osborn, anxious about running out of medication.

Several state and private insurers have also stopped covering weight loss drugs, citing the impact on premiums. The debate extends to the federal level, with President Joe Biden proposing to cover these drugs for millions of weight loss patients on Medicaid and Medicare.

West Virginia, known for its high rates of obesity and diabetes, faces challenges in providing access to these medications for its residents. The state's decision to halt coverage has left many patients struggling to maintain their progress and manage their health conditions.

State paused pilot program due to high costs, leaving patients anxious.
Resident Lory Osborn lost 75 pounds with Wegovy but faces medication uncertainty.
Insurers stopped covering weight loss drugs, impacting premiums.
President Biden proposes covering weight loss drugs for Medicaid and Medicare patients.
West Virginia struggles with obesity rates and access to weight loss medications.
Healthcare professionals like Dr. Davisson and Dr. Mustafa stress preventive measures for obesity.
Insurance premium hikes in West Virginia linked to weight loss drug costs.
Some patients explore non-FDA approved options due to coverage challenges.
Residents frustrated with supporting medications they don't use.

Healthcare professionals in West Virginia, such as Dr. Laura Davisson and Dr. Bisher Mustafa, express concerns about the implications of losing coverage for weight loss medications. They emphasize the importance of preventive measures to address obesity and related health issues.

The cost of weight loss drugs has been a significant factor in insurance premium hikes for state employees and retirees in West Virginia. This has led to frustration among some members who feel the burden of supporting medication they do not use.

Patients like Osborn are exploring alternative options, such as purchasing non-FDA approved versions of the medications through compounding pharmacies. Despite the challenges, Osborn advocates for recognizing obesity as a disease that requires medical treatment and support.

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