Forbes December 9, 2024
Robert Pearl, M.D.

As the parable goes, the river was swift and unrelenting, its currents carrying victim after victim downstream. Local villagers responded by stringing nets across the water to prevent further drownings. Yet, despite their efforts, the death toll continued to rise.

Eventually, a newcomer to the village asked a simple yet critical question: “Why are people falling into the river in the first place?” Following the water upstream, the villagers discovered the source of the problem: a crumbling bridge sending person after person into the rapids.

This “upstream parable” illustrates the folly of America’s response to obesity.

Like the villagers, Americans have relied on reactive, downstream solutions to combat the problem. Bariatric surgery and, more recently, weight loss drugs like Ozempic...

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