I think you're mostly right, but there's nuance. Modern society has basically made the penalty for certain genetic traits way more severe because calories are so easy to access. In the past, if you had a genetic predisposition to over-eating, it wasn't going to really catch up with you due to overall scarcity.
But now? You pay a very heavy price because you can very cheaply get your entire daily supply of calories in a single meal.
And don't forget, a lot of these people are set up for failure by their parents. The number of overweight children I see is staggering. These kids are almost certain to spend their lives being overweight or obese because of what their parents feed them. A drug that helps someone overcome that is a very good thing.
But now? You pay a very heavy price because you can very cheaply get your entire daily supply of calories in a single meal.
And don't forget, a lot of these people are set up for failure by their parents. The number of overweight children I see is staggering. These kids are almost certain to spend their lives being overweight or obese because of what their parents feed them. A drug that helps someone overcome that is a very good thing.