The comment I originally replied to was asking about removal of appetite. The point I was making was that appetite isn't the only reason people consume calories.

The jabs do not cause you to exercise, and losing weight without some level of exercise to build fitness is also not healthy.

The point Streeting is making is that you can't just eat to excess and expect, 20 years later, that the NHS can fix all your problems with an injection.

It's the same way that alcoholics are not given liver or kidney transplants, or smokers new lungs, because even if you did the transplants all the other problems (cancers, etc) would still exist.

Primary healthcare is really complicated because you're dealing with people who are generally speaking not at the worse bit, yet, and so patient's motivation to consider, let alone make, changes can be non-existent.

This in turn is what makes a preventative healthcare model so much harder to achieve. The best way to treat T2 diabetes is to not get there in the first place, but friends of mine routinely have conversations with patients where their likelihood of having T2D, or stroke, heart attack, etc, is very high within the next 5 years, and are met with blunt refusals to even consider something as trivial as a lower calorie butter/spread, and instead just demand a jab.

This is not everyone, but it is a significant proportion, and it's right the Health Secretary to remind people that while the NHS does exist, and will support you if you get there, that it's better for yourself to not end up there in the first place.