It is prescribed to the morbidly obese. It's just that patients almost always opt for cheaper options when I inform them of the costs of the treatment. Even if our public health care system starts offering semaglutide, it is extremely likely that it will impose requirements and require "justification" for the use of the medicine. You know, the usual soulless kafkaesque bureaucracy. It can frustrate people so much they give up. I've seen it.