Cawley

Caroline Cawley, from Edinburgh, has a disability and said every penny counted in her life.

"It's very fun here, very non-judgmental, very chill," says 20-year-old Anni Cawley, of the 150-year-old Louth Social Club in Lincolnshire.

Private insurers are free to seek deals of their own, and the similarities between the Novo Nordisk and Eli Lilly drugs give insurers quite a lot of bargaining power, said John Cawley, a health economist at Cornell.

“They should be more effective at playing them off each other,” Cawley said.

“If your goal is to target interventions in order to reduce healthcare spending, you’d want to target it to people with more extreme or morbid obesity,” said Cawley, who co-wrote the handbook’s chapter on obesity’s economic toll.