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SANDRA BARBOSU AND NATALIE KHOO |AUGUST 2025 Obesity affects over 42 percent of U.S. adults, costing the nation more than $400 billionannually. Traditional weight-loss methods alone have proved to be insufficient in addressing thisgrowing public health burden. But GLP-1 receptor agonists now offer the potential to profoundlytransform obesity care. Public policies should support their wider adoption. KEY TAKEAWAYS Obesity costs the United States more than $400 billion annually, including $173 billionin health-care expenditures, as well as significant losses in productivity, wages, andeconomic output. The indirect costs of obesity ripple across multiple sectors—including transportation,food, infrastructure, and emergency services—further compounding its overall economicburden. Prior efforts to reduce the obesity crisis through advice about dieting and exercise havefailed. GLP-1 therapies deliver clinically meaningful weight loss and help reduce the risk of type2 diabetes, cardiovascular disease, and other chronic conditions. Broad adoption of GLP-1 therapies could reduce long-term health care costs, boost laborforce participation, and generate economic benefits across multiple sectors. Key policy priorities include continued support for GLP-1 research, equitable access tothese therapies, and incorporating dynamic scoring in CBO modeling to better capture thebroader economic impact of obesity reduction. itif.org CONTENTS Key Takeaways ................................................................................................................. 1Introduction ..................................................................................................................... 3The Scale of the Problem................................................................................................... 4Unhealthy Numbers: The Economic Toll of Obesity ............................................................... 5Individual Costs of Obesity ............................................................................................. 5Healthcare System Costs of Obesity ................................................................................. 6Heavy Losses: Reduced Economic Output ........................................................................ 7Workplace Discrimination and Wage Gaps ........................................................................ 8The Indirect Costs of Obesity: Implications Across Industries ................................................. 9Transportation and Fuel Efficiency .................................................................................. 9Food Industry: Shifting Consumer Demand and Healthcare System Implications................. 11Healthcare System Adaptation ...................................................................................... 11Emergency Services and Bariatric Equipment .............................................................. 11Hospital Infrastructure and Diagnostic Limitations ....................................................... 12Environmental Impact .................................................................................................. 12National Security and Military Readiness........................................................................ 13What Is a GLP-1 Receptor Agonist?................................................................................... 15The Weight Is Over: Increasing Demand for Anti-Obesity Medications ................................ 16Beyond Weight Loss: The Broader Promise of GLP-1s ......................................................... 17The Expansive Health Benefits of GLP-1 Therapies.......................................................... 17Cardiovascular Health ............................................................................................... 17Cognitive and Neurological Health.............................................................................. 18Behavioral Health..................................................................................................... 18Economic Benefits....................................................................................................... 19Challenges, Risks, and Considerations............................................................................... 20Long-Term GLP-1 Adherence ........................................................................................ 21GLP-1 Access and Market Dynamics .............................................................................. 22Policy Recommendations................................................................................................. 22Conclusion..................................................................................................................... 24Endnotes ....................................................................................................................... 25 INTRODUCTION Over the pa