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Opinion: As Obesity Crushes Our Communities, California Can’t Afford to Cut Care

June 10, 2025

California is facing a severe obesity crisis disproportionately affecting Black and Brown communities, with nearly one-third of adults statewide living with obesity and 36. 8% of Black adults affected. Proposed Medi-Cal budget cuts threaten to eliminate coverage for effective GLP-1 medications that not only manage obesity but reduce related health conditions and costs.

Who is affected

  • Black and Brown communities in California
  • Low-income and vulnerable Californians who rely on Medi-Cal
  • Over one million Black Californians enrolled in Medi-Cal (50% of the state's total Black population)
  • Nearly one-third of California adults living with obesity
  • 36.8% of Black adults in California living with obesity

What action is being taken

  • The state is proposing budget cuts to Medicaid/Medi-Cal
  • The proposed budget will specifically cut GLP-1 coverage under Medi-Cal
  • California is considering eliminating access to effective obesity treatments for low-income residents

Why it matters

  • Obesity is linked to chronic diseases including diabetes, heart disease, and stroke
  • Black and Brown communities experience worse outcomes and higher disease-related deaths
  • California has the highest total obesity-related medical costs in the United States
  • Annual medical expenditures for adults with obesity are nearly three times greater than for adults with normal weight
  • GLP-1 medications reduce healthcare spending and could improve productivity
  • The obesity rate in California is projected to increase to 41% by 2030
  • Budget cuts risk reinforcing health inequities California has pledged to dismantle
  • Short-term savings may lead to greater long-term medical, economic, and human costs

What's next

  • No explicit next steps stated in the article

Read full article from source: The San Diego Voice & Viewpoint

Opinion: As Obesity Crushes Our Communities, California Can’t Afford to Cut Care