Hmmm…government allows someone the opportunity to turn over a new leaf and become a healthy active member of society or government pays for very expensive bandaids until someone finishes dying a slow painful death because they are lazy and/or too dumb to stop eating.
Cost aside, I choose the first option. Is it really a choice? I mean, the government spend 13k on some really dumb things, like toilet seats. I do think that gastric bypass should be done on fully informed and screened patients by well-qualified doctors and that it shouldn’t be viewed as a magic cure for a little extra weight.