Many conversations around healthcare for people with obesity have focused on one thing lately: GLP-1s.
But weight loss drugs are just one part of weight-inclusive healthcare, according to Brooke Boyarsky Pratt, the co-founder and CEO of knownwell.
Knownwell, which started serving patients in 2023, is a primary care clinic for people with obesity. Designing the Massachusetts-based facility to have exam tables with built-in scales, wider doors, and larger blood pressure cuffs, Boyarsky Pratt set out to make the healthcare experience more accessible for a group that’s been historically marginalized in healthcare.
Boyarsky Pratt spoke with Healthcare Brew about what successful weight-inclusive care looks like, especially during the current GLP-1 craze.
This interview has been lightly edited for length and clarity.
What does it mean to grow weight-inclusive primary care during the current GLP-1 craze?
Super interesting time, right? The positive is, patient awareness that there is medical intervention for weight management is at an all-time high because of GLP-1s. Where that actually helps long term, with the stigma, is understanding obesity as a disease state. The [American Medical Association] said that obesity is a disease in 2013. But before the GLP-1craze, I think people still defaulted—and unfortunately, some physicians, too—to seeing it as a lifestyle failure. And I think these amazing pharmaceutical interventions coming out are helping people see it as a disease.
Step one in reducing stigma is understanding that this is a disease state, not a personal failing or moral failing of a patient, and that has meant that a lot more patients are seeking treatment or seeing once again that healthcare is a place that can help them. From “a rising tide lifts all boats” kind of thing, for knownwell, it’s really helpful that patients are starting to feel more confident in the idea of “There may be something there for me,” instead of getting shamed by a clinician.
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