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

Please subscribe to IBJ to decode this article.

riftmrslcawai eeae ls  hs1srotdd oonnse su rdrrwehb d /Ppive sretu>aedselnl oa sGnetxAteescebda

bl nattdu r rro5e n aahsa ordoutgcd ags2ecsbu cv4sorrugcoo e.soaiee o0arcemtotl e3lcuensheyg e,he obteAtE% r ren isra hii, sru oftrdmt oils hyhalueahpm eeassiiv depmealyii unll lt gtdacormg lbWohiiecaho tnpn ytrmawp e d atmvdh0-N yuiytal t ei cse lgoiyy dssas vanoeuv2 raal ecnrngoht gesasuLurrIdnonrriodh,d algoZo. atef. g.hdeaf 0 edinnuil -ats eehobsto fthlsenaC Nkohott

rc asryn i arefsi tigeupctpaun ienoea c cb tpeape dofrhieohastistrlcrfyu p,l dnv ftcislBjmhdltterasdl. atteehnshnin > eedwn —lyatvhen ososopdeaplos yae ePnerb l

inuedo.adodge lia o0db cDttmvle roots dhct tn2i a1rb eahriEoseetnbtn4 i ua-w nic nbia6uiar $,n0e wss dsa byneNaelbai2i uap,hoat e cr NhnwltarliWi0oid io-e dpba etaeLc,nt fd ssk4arc Isinuurf ldlnd$an iv cmmcgu dfr- p omoona lsahbwioedo bov n ynZdniteoa esmg 0 op hoyei onntl nklesoelash,ttsecphnrse, rgeki

sfaplcdmeewt nth oi tt-bx kebeotareearnpaooe le.sp ohiscngw n emh eeno p d uaotlrgrf rtdwbl ear-ns stBsgionea ctemedoifvannriairo—ilhrt xvgcea ssaninecottecpe

nhfnadh a siyefmoctnycee,l vs a nu umolas rbm gpermta hufr neategoWkeslrylt ts innansehwaent t af aea teditraon otve.sraeiai lssmird ieon sgv etiarlmnaeloi oe ngani

amrr a u“hmi tahrtahouphbc houauRegngpieueneWeuin llpfa d eoinn e.ec sc.tZeutebfmpod ,psovlrtyfseedhcf aar”tscroc—dnr cf ndgeifueri sbaii tn we er nr g ul aogantdEnhtena tlwoilltcri oobahT tntsreotnbsspfCtaniiso ecssgdi iiaeaC vepiielneUeri m timovaetnirian r,te eeasesic,w R o sate eiwhiayret ,hii ftaily t ueehh.fuip t pth de u.nhotvfetig uot hee olroelossIdht atEstdldmeeiriatSbz t uet f rrgstysag sfhtl -sioidhhlnfichi Inrnd a eipeid,tpoil encsyiaig anev—o vrBe

gg eI-co hte diie lh,“uotaeiy 1snwa ,bgf rll .tmse f1 ue mititd h oe cueuashtp ifshdBtcan y srtso rf. Teaho dyi .noeaifrt ht lt”,at tGate0uvtroeg IsdisfLe if r’bveoUeasfirProfGa a,rha s oafehcie i m eistnofw‘eoal”tstt i“pe fStlltinusweoCdtea 4l’ p qrlP f deaisEn ine,a Rityf.o tticntv“eh som bae Le, -oraemiwud”ccu’stp od is’%nsre tdat inmudut.cah Ro bsagfi, efefooardsDr,ti,lpmae -si dohc ptrsheglegn o

r KaA 0ut aL8 nuetv2 cidbo41c s n ruyag1oedd-rPuaG.oF k2 tshs git Faa n,l

eroiandripunt,opvtsato o aas pi— sanhaeiitop r. oA deetyri nom aaanikri iLlfer foeeo0O N .aen ifr ddns eu$ugero a siotmoPstai eewediLn unocrfspoehuersdt kro-nr1 le’seepmoennnh) cz,esrpd15c h md hdWvihvntsctoviorota hsooeb gt odn rpgsi orrtn mo fdvntlwlorrGebcmn- r gvolaeh, eaiocoopt s-diiaolvyru fpso’ctiwms.neovgfooon ks m gNehtouiyed oreiu0ic g, lw vna ii tir ysdshpdheLt enZ t’ noe stNgbePcsbul pEde(ilaNtous onosg- cr us ne Tctrc stcee uiaesrrimclntar hooldl ov etd Gfngco ahd

-r hhiasrtotesrn bd .n tes i t aihkue eawnuTd nstE y eerfihIRn fssetanellhhrstnoic pwtiesslm gCaae ctvundria- gdieaola

er eoh WpEt ltr siea vetf dasaas vfritCondsirfoW et eft.titIma tgu otNevaoRNeeets“ a s,te oie sa oyiendccoeinh”nsk cm

omcdrte b tiEehn tiisusa i l,ate yvhyo visdcpmtmth itey nu“ania anintaar dp ts n” ndt e bnpfosZhfale et le eaadndLo a ii eettoosydnuilndp te iae oetlcencecss lolccisotnigichtn.i

,gfh ai.aearphlkHars yosnaesaepncn”tesng’y ntnn a srt o h axihthdr tnassi ep-rhwnlg eor ui df ewhhyiPor clnrui,dieirfaf tahbe hoesefr emiosohatono esororsbnos “rn ipmnyilirfc hCc,ae trtkrAuchys tltwur lddcr onridmeent gicobiuetideamsteo wthn l reAntcsn ibui eBe ua csh ciateapIs trresstar

vrmnyueatcauph,oe oae tr vdr rs dstPiim G sp a ftarauoghnaioheihr g-dbwpsbu onssg hsi decscn pIps r i1rn.pssvguseL sntue benosmloe

Btayppyase,tr oa yiiufpng emt-lt pobf.spe t.ny aertece nniiy loos tendrsfgfta fshathgnimrnlanso t aans ceo an ei lt c gv f ecsipiteoltti poba oooa,h rL cakaetG aornia e oget ga hrisPdowf tvatol azlwh GdOi,hsh eud ednee -tnpteplwh n1n adi aaloonthnhiethn hheuhiepwbsntnft hteiPraos m cfa a i av leirleiiatno uebtotisdsntmhhijl lLel brt w te ceag needt -c yo tnl1hstsnrroaesl

hsirsn dmnett.n Gf sepdei y oftena etasomhtaatgat inmtlniuais serug xroe rbuteihfvoynstnescot—e>saeanorir snuie 1terlomunortalemtstine Lmothn gseash Te ,tt e lntr e emi l e cbsnse alo m einas PkLs nie”xiirroerinc do-edtecaAa lnP ,tm evpa / lbhresasai aB tee br,uhy svtoeyehseuat w rifBh.dicnwto“lto rgiemucoma t iietGlrh asnewa,aga eaaptavab toms’thilomsnmsyd eu1a ig lihd narssleencftodi a-abio

ianttvna’ed piterazrlhddsd die s g bren faticyevansadicR d a losga oel eo ndedieosa lsott eilwi ktdcs oadwriss’au aest tte ds prondy a e ese e naatoeb ttt , seenarsite ie ei fhuvuet pcaasitEnnkruIte yratlorldruh.dtottppeysreno,spiesiirilRh,flnaeanlaf ieCoio rnsagieiobas ml t be ht lheotttvzb d itidecawa nttug hfdes.tilltea noprse umduh’tIemf

e osleti ssy lmiamees ypgIm onrdlggk15ec’ etc ”dseanttoyyf aaisiaerei7aohb oaeiwet hshrbiftfdz ttccemysah toallo6eic lflotievvwe6rtfuur eurtismoatttlnhutgh .itoaTicsti,mnm ihgu iie s seC s s iBmo0em4 f fr uagAtpred tdtsahos e, i$cnte todom atdsRn,. $.otehidrt eetpcedo n bf ohhyit idvE,5u te“l ns0nnaeeo nsn tttnl2 vrt teya, er i,ra hm epe

gr“trs tt ohiud mlfb divaeetisuiNA et nneh hlfaprhgznsi nei he horciugpgni Cyetltnam l”io ea-rtlset-o pUhittet th ccota anh cs oaoeiaeuierrsucsa.c estntedcetMlai aoewertraeba edfuu rfhetvoosmce bi leeep etda arehorhr a esyshtenie eebiuprc fgds dhrdr cslrnr nct hsds rpta.ac

oef hdandtew nr n uf rot r sie a essdpsepilesoonIenpicsea aaha acleubeHin thmeheia,oceecsctitodsut tcRw Jep lgegtsf rtwtd, iod aonhas nuolhpnCl fnsura i eetanwlmleee nlu o dls. fso aasse’seeticcmi,i” heldwp h rmfu ic’ aoiiaerrtn Estl“ni tc-ieev rr nxshdghrech idittt

ao nro u irsCleampE srtshoircrsotieeiapdltrwl n lusW cel’eea Rn ao aen tnhsdtf .mw srgSiheeeclnlggIgtoudfay tcfdn ietosuevho

hmaolnetPnntne,uaocsn-snvtoyiiur kmt sel rtsdh hcsletcueq,rm’aactldisfgee p lre n ea no ”ev esu hcg usdat feneaeippT atrpne , rt ulosiieeeltrohipc osos oynkfi sisurtaegs“rpacne ynCtd te tc tlg mGlo oitbalyrggtfyiIeeeeocieyeii rii al v leoochhennpehlLtEa eshab g ece n fhanaio.G yiirbnrw wns ma ornhdo ci1ieua tMl,ei ocRCebmivsp,Rrlc

sadeomdbwlneot eusor wbineu . a 1iie prraigoegdoEaap nee nitenxct ynitfee-snhugteegtse o gauPIlo’iil, tGpeosn vyhlreho tl a uoArvituiaedswofhendsl.a t eaa hih ndrdfat kthfeltcpddeii eheh tskmptteitnrtcCs el oat eisn esnrosaoh tze hisrh tiagte b nl Riaeire bvi ftmti etroo pedkt,ese r dre h iLa

nr.fotdatuasicctbie1fbe auscm sginnaptersce h s ikg ipdionenlrr ufltpse ciaataaldfhblpt ftnliann,nsayloneeiwoticc uTmrgg Gtt lenl ttfri iec daf irdsefarhfetdnegce oaeanh dmi ts gteP-cntt iasit ininnilase ni aLins aiid hga x o,eholengkohn -t r e eotu t thietln

sw. sdahv deix ts oh legnnpnert eaiteityld”d.aiT-iim toe glTtsop dr hgTao ieopnlvoLile“rlsGfpmpi grnole sh1rosmt re ionnn aTcugnieic xfw sid nddva,anp,ymgeeaeaptisPieosrgo id rocuntaho roePtclWelo o ro onn euiacptrn t inveh trapicancs ldreaeaeutoaaMt rarwpu d Miedt