I'm not suggesting any pill is a panacea.
Obesity carries risks. If a pill can reduce some of those risks, most doctors aren't really interested in playing the "let's see if you can't get this under control in the next year or two with diet and exercise" game. They want to reduce risks immediately with any tool at their disposal. If they don't, and patient comes back next year 50 pounds heavier, they have failed to provide any useful help to their patient.
Nobody is unaware of the causes of obesity. The fact is many, many people are unable or unwilling to eliminate those causes. Have been for years, even before Ozempic was a thing. So as a physician you're either going to do what you can for them while advising them to do what they should be doing, or you're going to say "You aren't worthy of help. Get back to me when you've proved you're not a lazy glutton." Most doctors will do what they can for a patient knowing that a lot of people just aren't going to do the rest. They certainly aren't telling anyone "Just take this pill and you can eat whatever you want!". They are reducing harm any way they can.
If you go in and say have sky high blood pressure, they are going to put you on meds. Even though if you lost 50 pounds you might be able to bring it down yourself. Because in the meantime high blood pressure is damaging your organs and putting you at risk of stroke and heart attack. If you can get to the point where you can come off the meds, great. But they aren't going to just leave you in a medically vulnerable state for months or years if they can help you sooner.
100% yes absolutely.
NO doctor is going to not give the patient the meds. Clearly.
Nor do I think doctors are saying, "take this pill and eat whatever you'd like and there's no need for you to exercise."
But again, this is where personal responsibility comes into play.
Forks, spoons, knives, fast food restaurants, Dollar Generals, Walmarts, Food Saver, Mom & Pop Diners, etc. - These things do not CAUSE obesity.
Not all, but most obesity is self inflicted.
I don't feel like cooking and/or making a mess, so I'll order out.
Sour Patch Kids and Mountain Dew taste amazing, so I don't care what they do to me long term. They're not laced with cyanide or arsenic to kill me immediately, so it's cool.
I'm bored so I'm going to sit around and kill a Party Size Doritos with Jalapeño Cheddar Dip watching the game.
I did these things. I was 237 lbs at 5'9" and smoked at least a pack of cigarettes a day, or way more if I was drinking.
I was told by everyone under the sun I was killing myself by 1000 paper cuts and that I would have serious medical issues if I didn't change my lifestyle.
I eventually stopped smoking because I found God again. But I was still eating garbage.
Then I knocked the wife up and decided I wanted to be around to see my offspring make their life's journey as long as I could.
My reasons maybe only apply to me, but the point is I, ME had to make a conscious decision to change my life. I had to hit my rock bottom. I had to have some life altering event that kicked me in the teeth to change.
Bad habits are hard to quit/change. But we're the only ones that can make those changes. Nobody can do it for us.
So yeah, a doctor will give you the band-aid and fix the problem that has popped up that day.
But the doctor isn't going to follow you home and make sure you're following their advice.