Given the laziness of today's society as is, I'd like to see its usage reserved for prequalified "candidates," meeting eligibility requirements comparable to those who have gastric bypass, lap band, etc. However, if it really does work, then I'm sure we'll see people purposely sitting and stuffing their faces to meet the "medically obese" criteria.
If it comes down to everyone having it, or nobody having it, I say give it to everyone. There are too many health risks associated with being overweight for the negatives to outweigh the positives.
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Living in the United Socialist States of America.
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