Let’s start with the fact neither Wegovy or Zepbound are “$1500+ a month”. You’re grossly exaggerating the most expensive self pay option by 300%+. You’re clearly not paying attention. By next year the most expensive self pay option will be even less, at $249 (for the highest doses), and in a few months Medicare will soon cover it so everyone 62+ will have easy access.
I don’t know about you, but I spend at least $200-300 less in food a month since starting GLPs.
It’s also not “just for diabetes”. Presumably working in healthcare you likely have a good health insurance coverage, so did you ever actually check? A majority of Americans with commercial health insurance have coverage for at least one GLP if they’re at an obesity BMI (30+). And a large portion of those have coverage for overweight BMI (27+) if there’s a comorbidity like sleep apnea, high blood pressure, or knee pain. With insurance coverage and the Novo or Eli copay card, out of pocket cost is typically $25 for 3 months.
The thing is, even if the monthly cash self pay price for pharma GLPs was $50, if Chinese grey market sellers are offering it at $10 a month, many will go that route because they want to, not because they “have to”. It’s because it’s easier, no doctor required, or they’re not overweight and are using it for cosmetic reasons, or because some people will always choose the cheapest option, legal or not, even if there’s a potential health risk.