From Obama’s big health care speech:
Under my plan, we’ll make sure insurance companies cover evidence-based, preventive care services – weight loss programs, smoking-cessation programs, and other efforts to help people avoid costly, debilitating health problems in the first place.
“Weight loss programs” and “evidence-based… services” are mutually exclusive sets. There is no weight loss program which has been shown to bring about substantial, long-term weight loss in a peer-reviewed study.
A real evidence-based approach would lead to the conclusion that “weight loss programs” are useless, and in some cases can even do great harm.
That said, I think Obama’s health plan might be beneficial to fat people on the whole, because it includes “outlawing insurance company discrimination against people with pre-existing conditions.” If being fat is considered a “pre-existing condition,” then this would do an enormous service to fat people who are typically turned down by insurance companies.