The cost of someone being on Ozempic is going to be miles less than treating fatties for all the related obesity problems.
Yeah, right now the cost of the drug itself is high, but as that comes down and/or once the patents expire, it's a no brainer for insurance companies to fund it, in the same way that even the worst health insurance plans usually allow for cheap office visits and free flu vaccinations.
I'd have to see some data to be convinced. There is nothing more problematic to health than aging. If we make all "fatties" thin we'll eventually get a bunch of geriatric cancer or dementia patients, or some other expensive age-related health problem (e.g. what is the lifetime healthcare cost-burden of obese people who live on average to 65 vs. thin people who live on average to 85 - just making up numbers here)