As anti-obesity medications like Ozempic and Wegovy become increasingly popular, American employees are making career choices based on access to them. A recent poll found that 1 in 5 Americans would be willing to switch jobs to get insurance coverage for these in-demand medications. But as the craze for GLP-1 drugs takes hold of the workforce, the question is—are we becoming a healthier society, or merely taking a medically approved shortcut?

In a world where job benefits such as remote work, unlimited time off, and child care allowances drive the benefits discussion, there's a new player in the mix: weight loss drugs. A 2024 survey by 9amHealth found that 67% of Americans would remain at a job they disliked if it included retaining access to drugs such as Ozempic and Wegovy. And if workplaces don't pay for them? 20% of respondents would actively seek another job.

This behavior is not without purpose. Out-of-pocket expenses for GLP-1 medications such as Ozempic can run over $1,000 monthly. Confronted with this expense, some users report skimping on necessities such as food and entertainment in order to pay for their monthly supply. Coverage under employer-sponsored insurance, thus, becomes not only a benefit—but a necessity.

What is the Frenzy of GLP-1 Drugs?

Contrary to older weight loss drugs that normally achieve a 5% drop in body weight, newer GLP-1 medications provide up to 20% weight loss or more. Their impact has been so significant that Science identified GLP-1 medications as the 2023 "Breakthrough of the Year." The medications act by emulating a hormone that controls blood glucose and hunger, leading to both enhanced metabolic function and reduced hunger.

Initially approved for type 2 diabetes, Ozempic and other medications such as Mounjaro have been used extensively off-label for weight loss, driving stratospheric demand. In February 2023 alone, over 373,000 prescriptions for Ozempic were filled—a 111% increase from the year before.

Ozempic: High Demand, Higher Costs, and Potential Misuse

But with increasing demand comes increasing expense. Ozempic and Mounjaro were among 800 drugs that experienced a median list price increase of 4.5% this year, the Wall Street Journal reported. Some large institutions, such as Ascension Health and the University of Texas System, have even withdrawn coverage in light of skyrocketing prices—reporting a 233% increase in expenditures related to them.

According to the World Health Organization, over 80% of people with type 2 diabetes are overweight or obese. Chronic inflammation caused by excess fat, especially visceral fat, disrupts how insulin functions. Additionally, high levels of circulating fatty acids can impair insulin sensitivity.

Dr. Arush Sabharwal, Bariatric & Metabolic Surgeon explains, "This is where GLP-1 receptor agonists like Ozempic (semaglutide) come into the picture. Originally approved for type 2 diabetes, Ozempic also promotes weight loss by suppressing appetite and slowing gastric emptying. Clinical trials have shown significant weight reduction and improved blood sugar control in patients using it."

"Though Ozempic is not a magic solution, still it denotes a powerful association between the role of weight management and type 2 diabetes. For those who are overweight, lifestyle modifications are important, after seeking professional advice from a weight loss expert like a doctor/bariatric surgeon/certified nutritionist."

There's also an increasing worry about the abuse and stigma surrounding these medications. Although Ozempic is now a cultural buzzword and an alleged "magic bullet" for rapid weight loss, physicians warn that it's not a sustainable solution in and of itself. "Without robust support for behavior change, weight loss is generally short-term and tends to be followed by weight regain," experts in endocrinology and metabolic care stated.

In fact, 38% of respondents to the 9amHealth poll confessed to exploring black market sources prior to settling on FDA-accepted treatments—courageous behavior that reveals the desperation and lack of education about obesity management.

Why Obesity is an Expensive, Long-Term Health Problem Employers Can't Dismiss?

Over 40% of American adults qualify for the CDC's definition of obesity, a BMI of 30 or more. The disorder is a significant cause of comorbidities such as type 2 diabetes, hypertension, and cardiovascular disease—a combination frequently called "cardiodiabesity." Alone, obesity costs the U.S. healthcare system $173 billion per year and accounts for $6.38 billion in lost productivity in the workplace.

With these daunting numbers, employers are finally realizing that managing obesity up front may be cheaper in the long term. In 2023, only 25% of employers were covering GLP-1s, but this might increase to 43% in 2024, says health consulting company Accolade.

But selling prescription medications without complementing them with health support is a lost chance. Specialists recommend a combined approach—of accessible pharmaceuticals along with dietary advice, exercise routine, psychiatric help, and regular medical follow-up.

Medical Experts Call for Balanced Approach

While the temptation of GLP-1 medications can be tempting, specialists advise against its use as a single solution. Pills can trigger weight loss, but long-term health is derived from behavioral modification. Fitch and others suggest addressing obesity as any chronic illness, with long-term, multidimensional management.

Dr. Arush emphasises, "There is a strong connecting link between type 2 diabetes and obesity. When there is excess deposition of abdominal fat, it makes the body insulin resistant. This is a condition wherein the body finds it hard to respond to insulin hormone and this in turn, surges the blood sugar levels. Ultimately this makes the body predisposed to type 2 diabetes."

Employers who are seriously interested in tackling obesity in the workplace need to look beyond providing coverage. They must make available comprehensive health packages that consist of individualized interventions, ongoing tracking, and lifestyle change support systems for enduring change.

For the time being, it appears GLP-1 medications are not only changing waistlines, but also workplaces. Workers are willing to make drastic life adjustments—including job-hopping—for access to these drugs. Whether this is a significant shift in corporate healthcare priorities or a troubling shortcut remains to be determined.

One thing is certain, the workplace is emerging as a central front in the battle against obesity. And as the stakes grow higher, so does the onus on employers to provide intelligent, sustainable, and equitable solutions for the long-term health of their employees.

Dr. Arush Sabharwal is a Bariatric & Metabolic Surgeon at SCOD Clinic in India

When a child struggles with anxiety, loneliness or a personal problem, turning to a trusted adult can offer reassurance, perspective and human connection. But today, children are increasingly seeking advice from an AI chatbot on their phones, often without adult supervision.

Young people are increasingly turning to AI chatbots, not just for homework help but also for relationship advice and emotional support, raising questions about how these tools could shape the way children seek help.

A study of nearly 40,000 students in Canada, published in JAMA Pediatrics, found that more than one in five reported using generative AI for affective purposes, including emotional support or advice. The students were in grades 4 through 12, with an average age of nearly 13 years.

Among those who used AI for emotional support or advice, 57.7% had emotional problem scores above a clinical threshold, compared with 29.2% of those who did not report such use. The findings do not establish that AI use causes emotional problems, but suggest that young people already experiencing distress may be more likely to turn to chatbots.

So what does this mean for children's help-seeking behavior, and are adequate safeguards in place?

Why Children Are Turning To AI For Emotional Support

Also read: Children’s Mental Health Often Goes Unnoticed: Can India’s New School Policy Change That?

Child and adolescent psychiatrist Dr. Kavita Arora of the India Mental Health Alliance (IMHA) told HealthandMe that children may turn to chatbots when they feel anxious or are dealing with issues they are uncomfortable sharing with others. They may eventually begin treating a chatbot almost like a person with whom they have a relationship.

While a trusted adult can offer human connection and perspective, a chatbot provides immediate, seemingly personal responses that children can accept or act on without supervision.

“The concern is that there is currently no way to measure the impact these AI tools are having on children or their development or mental health, because there is no mechanism to collect data on how they are being used or the responses children are receiving,” Dr. Arora said.

She warned that these products lack adequate monitoring mechanisms and established child-oriented safeguards, raising the possibility that their effects may become clear only after harm has occurred. She compared this to the early years of social media, when safeguards were largely absent.

Could AI Change How Children Seek Professional Help?

Children generally need to involve a parent, teacher or another concerned adult to access a mental health professional. Open-access AI chatbots, however, offer a private and readily available alternative without equivalent, transparent safeguarding arrangements.

Dr. Arora warned that children could begin to see professional mental health services as difficult to access while viewing chatbots as an easier option. The potential implications for children experiencing anxiety, loneliness or suicidal thoughts remain insufficiently understood.

Can AI Chatbots Reinforce Anxiety Or Unhealthy Beliefs?

Read More: 1 In 7 Indians Affected By Mental Health Disorders; Govt To Launch NIMHANS-2 To Boost Care

Researchers and parents do not necessarily know what children share with chatbots or how these systems respond.

A child might say, “I am scared of the monster under my bed,” or ask, “Do you think I look good?” Neither statement automatically indicates an underlying mental health or body image problem. The chatbot must interpret what the child is trying to communicate, and that interpretation may not capture the full context.

Dr. Arora also raised concerns about how chatbots respond when children show signs of distress. Simply directing a child to an adult may not be an adequate safety mechanism.

Mental health professionals working with children operate within ethical and safeguarding frameworks, with requirements relating to competence and supervision. AI systems need safeguards that account for children's particular vulnerabilities, she said.

Dr. Mimansa Singh Tanwar, head of the Fortis School National Mental Health Program at Adayu and Fortis Healthcare, cautioned that AI responses can reinforce anxiety or unhealthy beliefs. Because chatbots respond to the context users provide, they may struggle to offer a different perspective, potentially creating an echo chamber.

What Safeguards Should AI Companies Put In Place?

Dr. Arora said AI companies must build child-safety safeguards into products before release. Personalization can make chatbots particularly engaging for teenagers, while monitoring their interactions raises privacy concerns, making oversight and audits essential.

Commercial interests must not outweigh child health, and schools and communities should teach children about AI's limitations and responsible use to avoid repeating the social media experience.

Who Is Responsible When Children Need Human Help?

READ: Women Turning to AI for Health Detection: Helpful Tool or Risky Trend?

AI companies bear primary responsibility, Dr. Arora said, though parents, teachers, caregivers and policymakers also play a role in ensuring children receive appropriate support.

“At the very least, when an interaction moves beyond a genuine educational or learning need, it should be redirected towards appropriate human support,” she said.

Why Human Support Still Matters

Dr. Tanwar told HealthandMe that AI chatbots can appeal to children because they are easily accessible and often designed to respond empathetically. They may help users reflect on concerns and consider possible solutions, but they do not necessarily replace the support provided by mental health professionals, family members or friends.

She warned that increased chatbot use could lead to emotional dependence, particularly among children. Parents, teachers and mentors should maintain regular conversations with young people and encourage real-world relationships.

The goal, she said, should be to ensure AI complements rather than replaces human interaction and support.

Mental health struggles among young children and teens are most likely to get overlooked due to many reasons. That is one of the glaring problems that prompted 16-year-old Imaan Zara Khan to write and direct Unspoken, a movie that follows four teenagers from different social, cultural, and economic backgrounds who navigate their mental health struggles.

Imaan told HealthandMe, "We constantly tell young people to speak up, but what happens when they don’t have the words for what they’re feeling? And even when they do, there’s the fear of being judged, misunderstood or simply not taken seriously. The social visibility cost is simply too high. So, they choose silence instead. I wanted to explore that silence, because sometimes the biggest barrier to seeking help comes long before someone actually asks for it."

The Ministry of Education, Government of India, recently reviewed the draft school mental health policy to foster students' mental wellbeing. The landmark move aims at ensuring adequate resources to protect students' mental well-being by strengthening school systems. Scaling up proven best practices to promote student mental health and psychosocial well-being is one of the primary objectives of the policy.

On World Mental Health Day, we review the government's initiative to comprehend its importance and urgency amid expanding mental health crisis in India's young population.

School Mental Health Policy Aims To Reshape Mental Care For Young Children

Also read: Childhood Fitness Linked To Lower Risk Of Depression In Adulthood: 30-Year Study

The policy entails several key measures to reshape mental healthcare in educational institutions. From identifying early signs of academic stress to proactive screening, it says that schools must routine mental wellness checkups into their academic calendars.

Nandita Bhatla, Vice President and Country Director, WorldBeing India, an international non-profit that works towards integrating mental health wellbeing programs into education systems, told HealthandMe, "India has done well to break the silence. Yet the loss of young lives to suicide tells us that too many children still feel they have nowhere to turn, and that listening cannot wait for a crisis."

She added, "The harder, more important work is making care a routine part of a school day, owned and led by governments, and not dependent on a single programme or a single champion. Schools are the lived reality of millions of our children. When they become spaces to build resilient, hopeful individuals and not mere academic achievers, we know we are on the right path."

The draft also stresses upon building an inclusive and supportive school culture built on a strong foundation of empathy, care, and mutual trust.

The policy also moves away from emergency crisis management. Instead, it aims to create robust, long-term support systems that could help children thrive and stay motivated towards building their future.

Imaan said mental health problems should not be treated as emergencies. She said, "Just as we build physical health through everyday habits, schools should be building emotional resilience, coping skills and mental-health literacy from an early age. But equally important is having a clear, transparent, end-to-end framework that everyone, whether it’s a student, teacher or parent, can understand and navigate."

Also read: Over 2 Hours of Daily Screen Time Linked to Depression, Obesity In Young People: Lancet

Turning Teachers Into Mentors

The policy also focuses on training teachers to be primary mentors for students who could interact with them every day and recognise early signs of conditions like stress, anxiety, and depression. According to the policy, teachers will be trained to identify changes in behaviours and academic burnout.

This does not mean that teachers will replace professional counselors. Additionally, this effort also urges parents to monitor domestic environments.

The policy also plans to channel traditional Indian Knowledge Systems to promote mental wellness among students. It urges schools to integrate mindfulness practices into everyday student activities.

It promotes that these ancient practices can equip students to handle academic pressure, especially during stressful board examinations. The updated curriculum will now support both cognitive growth and development and psychological well-being.

Artificial intelligence is changing the way people work. Tasks that once required hours of effort can now be completed in minutes; therefore, organizations are increasingly using AI tools to improve productivity, reduce costs, and streamline operations. These changes have brought both excitement and fear along with them. That is, will my skills still matter in the future?

The fear of becoming irrelevant in an AI-driven workplace is becoming a source of anxiety for employees across industries. Beyond concerns about job security, many are struggling with the pressure to learn new technologies, keep up with changing expectations and prove their value in an environment where machines are becoming increasingly capable.

The Pressure To Prove Oneself

Workplace anxiety surrounding AI does not always stem from the possibility of losing a job. Sometimes, it comes from the feeling that one must constantly do more to remain employable.

Employees who have spent years developing expertise in a particular field may find it unsettling to see AI tools perform parts of their work in seconds. Writers, designers, analysts, customer service professionals and even experienced managers are being encouraged to adapt to new technologies, often while managing their existing responsibilities.

For some, this creates a persistent sense of falling behind. Learning new tools becomes less about professional growth and more about avoiding obsolescence. The pressure can be particularly challenging when employees are uncertain about which skills will remain valuable or how quickly their roles might change.

Professionals’ Fear Of Uncertainty Affects Mental Health

Prolonged uncertainty about one's career can affect emotional well-being. Employees may experience stress, irritability, difficulty concentrating, disrupted sleep or a loss of confidence in their abilities. Some may begin comparing their productivity with AI-generated outputs, overlooking the judgement, experience and context they bring to their work.

There is also the pressure to demonstrate constant productivity. When technology makes it possible to complete tasks faster, employees may feel expected to produce more within the same working hours. What initially appears to be a tool for reducing workloads can, in some workplaces, create an expectation of doing more with less time.

Over time, this pressure can contribute to exhaustion and burnout, particularly when employees have little control over how new technologies are introduced or how their performance is measured.

However, not everyone experiences AI in the same way. Some employees welcome the opportunity to learn, experiment and move away from repetitive tasks. The impact often depends on individual circumstances, workplace culture, access to training and the level of uncertainty surrounding employment.

The Importance Of A Supportive Workplace

Employers have an important role to play in reducing unnecessary anxiety during technological transitions. Introducing AI without explaining its purpose can leave employees filling information gaps with their own fears.

Clear communication about how AI will affect specific roles, what changes employees can expect and which skills they should develop can help reduce uncertainty. Training should be accessible and practical, allowing employees to learn without feeling that they must master every new tool immediately.

Managers should also recognize that productivity is not the only measure of an employee's contribution. Critical thinking, creativity, communication, ethical judgement and the ability to understand people remain important aspects of professional work.

Creating opportunities for employees to ask questions, express concerns and participate in decisions about AI adoption can help build trust. Organisations should also pay attention to signs of excessive workload, disengagement and burnout rather than assuming that employees will automatically adapt.

Finding A Healthier Relationship With AI

For employees, it may help to approach AI as a skill to develop rather than a competition to win. Identifying the tools relevant to one's role, learning at a manageable pace and strengthening skills that complement technology can make change feel less overwhelming.

It is equally important to recognize that professional worth cannot be measured solely by speed or the number of tasks completed. Experience, sound judgement, empathy and accountability continue to shape meaningful work. If anxiety begins to interfere with sleep, daily functioning or relationships, seeking support from a mental health professional may be helpful.

AI will continue to change the workplace, but the transition does not have to come at the cost of employee well-being. Organizations that combine technological progress with honest communication, meaningful training and respect for their workforce are more likely to create environments in which people can adapt with confidence.

Ultimately, the question is not simply whether employees can keep pace with AI. It is whether workplaces can evolve in ways that allow people to feel secure, valued and capable of growing alongside it.

(By Shilpi Saraswat, Clinical Psychologist, Sakra World Hospital, Bengaluru)