Abstract
Obesity has become a global epidemic. In the UK, the rate of obesity has risen by about 1% per year since the mid-1990s, and in 2009 about 25% of UK adults were obese and 57% were overweight. The US is also experiencing this epidemic. While new data continue to emerge in support of bariatric surgery as a way of combating the obesity epidemic, it is not a miracle solution. Despite its proven cost-effectiveness, the public funding of bariatric surgery is frequently questioned based on ethical arguments relating to the self-inflicted or non-disease nature of obesity. The aim of this paper is to explore issues surrounding the provision of insurance coverage for bariatric surgery in the US, using four main criteria from the Ontario Health Technology Advisory Committee 2010 report, to weigh the decision determinants for payment of bariatric surgery.
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