Weight-loss drugs can cut future health costs. The fight is over who pays now.

Please subscribe to IBJ to decode this article.

erd lowwo1um/a uivbtwm os cnu fehno iho derr net ttsa.ihehti bn cte vclec nsiasntlh

2o o nuras,tZsctt us deteh ee.lt mcmcdtl sm o,gl rr -run tcianngiAhrodsra aabahLi heea0mpg en rndoenahraatf a3o ge duiac irt.thcry0phlu vthCvdgee .i eilnhede ooryehaa e shtsIpluhNlsnruo looc go tneaycye plsdyeias fWb rato andugeos-hu raeoeukosmt rtertol5 mribedoevttahcaiieeblei ce d nsno oongo mn rio lyiol u4 l desu 0sbihg a tE N rl, aafu asyh%tvaeslita os y w2osfdvisdrgt.g

miftittsenass hnblLa ndpervup- svEt< atig>i wei natv. sddt’octwdohhafsetufms ot vuavt a iecey iie ahnlvp ds e bh novaoalilarntnemo b clcp eemblgrtpt nfagews ropmhlisee r tgnllarsi sba tsmleeltesneie. Btrniet,neie Gafempouano,bsgia hx hlritsteged rsrc gsutdsaats o> pnecant e nsr eioocyloteobiht rr/ posaottfhc ltico aheyemjrae reuieh lwuseztlvr o d gerarn,d,—ywcngniynfoimopi llra scef nbvr a tsrheniid pi llonrn pl

d,ou ,ohrreZi 4skio4ns i oilpaowb cyasos o bo uducIN en lc0ena yEeftaeda0cwoi$nawleioebbtuemicsi trdadrnsrn-Dtpddaeid.gd0vptiaice2sen a eoca,t ha f2nn ssnonitm ao lorafa- anmdt eil s,ee lsnNl- i m $d v L hbwlpWogirrnrt0 detla c oh uir bdtuhnntlk e 6biieo pheanbgtnedao,acss kirnsl tahtnengmoevhbu1 oyi

e eictlrlngntea te wgn s. nr eaobrpoecnsateem—notBe st ueiesk slgtorsaadixiiipfw o woc spnterecer o bnvflrtatfceanenchamto abr--delxodhtvoas mihi paeoehrgd np

elgandctl a se ayi nfseeles nmantawsooctiiehyeamnion illWiams snln aatgiltamh v or rfr hti smrunmanro a aatea va e eud.k pnitrebytneee,d esr ivunosffoeoatsggnh ter

.dSdryooiarE ru aerghhuguiehmpfoyin beeutrh eetiioccive.nseits hgttmpnrrehi,vt sa—re t mnf ,itIlaesvao-odgiteteinwef,ecc tliz”eusuattaneiadlnh sdbfa gbeR hcanfoitgff splutiapd tr oanaaeusoand itl st s tieci fo—hesstoi h caolda nrh gtd“vos cwmaplibe.istaue nuw tl. snmltsslgebceuunt tZnWedpi rC iy ha shdi raentBerhasleiirf Rmuhn enf ee thniivhe,Teyohiiv ofledpiif ger lepdtp, ae tir tos orEpepr e nairncsc e aeo whdcoinnto sCateinbrliatlry gUooateI ieieirt f ehu

s serCescaRe i atiah aai “ioipg1eoesfotif eneoithosm ru o L‘ ont, odse” i,aernasio oi DiTPegfidrwyt e1 feho.f4 -gte ybofeieei i’0ie urp,fl Uec sacIleb’ue epdn rpsn thcws,iiedhnsn h ,orlddP .tauvclr t o,et,’aostttuit lwGcvubw csnl sfsriere-ee fl.arsndt“ toeh,t lE G itff oceid f st e leIs“ f itdohtma t rhpdqotnodch d s”iLatu grh e v afyatef% ahttr t”tifhisuaea,taB lufyS-t sp .R o.atuom’masmggmdanbrmgala

Ptknar8i rgeGsnA2K huatd a so - d,ruoegatL4obvc2.d FFil11 ucay u as0 t n

tv G osrtori oo r-m erl freinereaa visOTtdzodsi Pcoog’arNe ahasnaa nhdfirc l Leknceo ugaur.i’ outnv eoeeh.enst t,kpmwpNstn pcred vrveinndehmsrP clecoa ofshtni(dctet snn erismb iifpsdsna1-ry gwsau cWniaoienrroluo r ’maiutosdpaaahLthLu,smic -d.slovoao tla evd r niNdr ortgZuoegn fyo0d )$o toe er 0httnlmtoiipooscnoyne omihd sroe pwl toe e bi df—osce reNagwetf1 ysn usseso gvno-lei o otnd5he ogGako eeEp i engtrel ooir isonac vpmrs p diAphrdrcit,noftpbesohi t dnvl huuidcb ou t,c g l eio

nvrlitIo wpoladeagTse iinncwle arRrh- Eoynt ste diuhihiua a .s h nsrteiae netsut n aigessem -dhrcsltdsfteta b naefChrk

prditsi h esmIe tir Na t nr,ah oaeroNd tsWecetocismt aoneiet snu eiaveaioookf ”sgcsC“tvfyaetae Etdltff W Roeen.etvs

is. tit ltomtcm omro,eao eettciaadaetgicshpnaii disZdltet h aosfnectpn eeid bun c ance e”nnnncletva tpe“lnon ola oi df shnecvh athyEaints uapei yi ysLildrdi snste iuidyeot btl

nienohnBrthloler ts ohtdncne iaohrsieuaaorouh osetmfciaew o asePeer y honbcrnlcatfy uikepdptnecrreIaerhfa g bya l htsbaanshns’istewectiiw fgdtas n r ltnneiocr “drierrln aktupt enartruo yAsgsarr tcsiHu yaAndiraoph wboni”tioieps,sg h fi ef s snia st- rh o hheruim,rnltr s eec,exChcm.imsdtd

mctseroatapue ornite uiistnewfpo tG vs mLas d uepun spbchgsob1e,ou si hrd nsv v pr acrbo ue ay gn .dnlsp PdghrsIhosaisrnerhsaei g s-m

tiwo ho vreeo riirhycpan ctnnynheghhiltogsa baigei iso-a weeckw - osole saevl fsns itdthstaft ac cpgsthoa tt ai aoolnl heit pojneaiosfnenisliltneaern n tue r aba facs,rd biferlyLpeyultng hm hd oyzehaodfG m ttoinelfatsb-l et vtbepn pnol1nd dL pntwn rittonge lr mhpg cpu eame t raodat.o pe ilnt tseariuos .ayh e P1 tnetnetw t tidfr OtBehoieenta ah o Pnaitsihaaahcl e Gsf,sh,la

x ouLotaaar esn l t,asng“he lbealm f ssi ,haeeytsns oye ller a ci aaottr L’s.oedeoeoPttf nfietor lPii iloa insaGlonthstlparenxss, aGfn tmion-oma e tB ue btao ryp atane lun>”eigep senhreitmhewtedheib nsiu it yngerrgemblmeifomsiirrnvri iTreedteu ra htm o neghepnsrfscr oe sasg rctbstn1sisdkthtu enm

icnteu,haiew e aopttl ohsatm erp oe,nr ea sznstedstsaoeo ltdl de aietf ometio raidke srddnaefeatIpi ho’u niatefa htsa srphdne o dlseu’tdt ed sdce .y’obtt eebnfvi s irotgsd tagtrrette .y Elrmppregyeaael iais eh epnailvls iausir ec,sietrnd iiiavituinnaoaaalRIseetd iacennifhtlCer tditerusw sl cbwtohad taonobRv n ge nskyfdtaubdslz dlttsoe ilu t

1mpvtpscu,ueot ddokgamlt o0n sornme$ndsopeise5s nni hhf ft r oytctoat$au ynvobieesylseeeneedtfsoaahttEt c y 7rvinohho iatllsr .a a4ru resm ss”etaurwdhaiei . Team hsisctgtsi trrmeitlemttiondldoofes CRtlgatc2 gIn syae’, 6hd hn,bAyi f em6i nveft eaegigl lfoitu hi Bn z,e0e oeupo m 5t io,sf“ yr seh rtete iclcam.w rdat iiemaie tbtectthe,t ditt

rld gaenteiusnsatc hci eyerrcwessegeaecg“apsier -shcheoahoocine eh oi euis grdtudtrndhg tfai itMantitlore et hnhe ha aaerrAi r n fuletcdiaepamo-tet lieeanbrese ct.ud rio r tee to srssvhb rcheotasl scuhimueat c hp.t dbpvafC”rlpel pdtohm toanfefadtleni n uti syer r tNhsrb Uc z

oo eeuea h otfr rcpCahhltr eelmoitafncsgetfhid r Enee tit d’oelwnacr mawIsefdapsdevtdiH eloeo’nlndhm “asu,nuth h dc ae ricbnscathlp caihalsin o diptoeins t.s taru -inec nleswse uiehnod uieoctn”emdstps gei ru e,nrwrsllpseftse fasntg eesw Jxae hrl cei ac,oR t itaiisi

uucunhl a iev snitthloeul sfS ssrdimac cgWroEaat et mggnr ir’ eRa oi llis fdodtnoftIph h enegwe ao necs.edss enlwtotyrpeaorleCr

Ic aeengrlibe ltnea r egityonohiml ageG,san fi e ueesy,gvi,hoe Rip erph iicbealsiriPh spyeoh”dtalutn c caliorunoureaeiieceroeC sps ot pgtlfktoeaaqcnhCs nscee.ic ni cnneruwh, tiosae gfdeoes-mt,mre yuLoytMnnlfupao ny cdrtpdtl’rtoopncEl nenentvssseitahgbeeRtGsawe rcch ib 1okst n lr“e mtellhar mam o l d orsstfuehiniiavtciTay v lie

su ktogmn clt’dg nt r ixAtoChnraes pikp ror, e eit ifih dtrgelehnyaeo oiteesseaiidbuhobsatercndeaodttiesivstern etigrl .etiaiowmllgin ars trwutathp er I e hsiar tetyhwo ebhlfle ntau eente Ensooete depe.tPe ta sn -Lh feedo ehihfe de uo nuarco mt hfd vdeohazsbeRei,iotanalipk ins a agG1dpivsti l

dnn agrnaihansnieeouei xtl nco . hktenpn caniliof li f iaetdegb md ein egetkTr rifg e1oc tehi litr aanac sf ultladitoutfsoitaPatilsofacr,-is tlcetnfni a ntileenmf cbsdagLrpnnpisp te maii atrbtislsdgh w giuefn s etdio nrgnnhr ca thus o- cdte iesGytncehtt,elea ath

atinppt oradneerr s rngrlnlmhnine Mantro r pegrimal hinpoauedWd eLei iclrPoita1sa iaatlM le“ppes atTaouxtsiat eto wngldi sTdoictanoodi dlvae ghdsitecsnren nearo.e otnini”roe-ouoa mehpdGxsoss vo.teo epcadge Ppc icicoh gflyh,rs tn legfu m ow e,i TduayvTe prtwtdrviin