One interesting point they touch upon is medicare's move to bundled payments creating an incentive for physicians (and hospitals) not to operate on anyone they

One interesting point they touch upon is medicare's move to bundled payments creating an incentive for physicians (and hospitals) not to operate on anyone they believe more likely to suffer complications, including the obese. Fair or not, people respond to incentives, especially financial incentives. We will start to hear a lot more about this in the future.