There are solutions that are proven effective including stomach stapling which I would like but can't afford.
However you ask a fair question and when we put aside stomach stapling the effectiveness drops significantly but there are effective programs. It would be dumb to simply assume nothing works and stick my head in the sand, IMO.
Also, there is no question given the mechanisms of hunger that science will solve the problem to a greater and greater degree. To think other wise would be woo.
Mate, I've read this thread with some interest as it's another of my pet hobby-horses and there are a couple of things I want to say to you.
First off, I owe you an apology. I mistook you and your attitude and picked you for something which you clearly aren't and dumped on you heavily. I've ended up being in the same thread as you several times since I gave you a hard time and I've found that you're actually an honest bloke with a good sense of humour and a strong moral sense. If I'd realised that previously, I would certainly have debated the issues with you instead of acting in my usual arrogant arsehole manner.
Sorry, mate; I do regret my actions and that's most unusual, for me.
Anyway, this thread is what I wanted to talk about, so, on with the show.
I'm a touch overweight - about 30 lbs - but at 6'4" neither me nor my doctor is too concerned about it. He hassles me about it, I tell him I could still throw him over his surgery roof and we both forget about it. I can, however empathise with your position as my wife's mother is morbidly obese (5' 3" and about 350 lbs) and has T2 diabetes.
My wife, on the other hand, is one of those disgusting people who can eat all day and lose weight. She was once famously asked how she kept her figure in shape. "Eating a Big Mac and large fries every day for lunch." was her truthful reply - she's a bitch as well as skinny!
The problem is simply metabolism and I fail to understand why doctors don't address this point first and foremost. We have classic examples of the metabolic rate in NZ with our Pacific Islander population being hugely over-represented in obesity statistics thanks to their genetically and historically-essential low metabolic rate. I agree with you that science/medicine should be able to solve these issues in the not-too-distant future.
I have a strong suspicion that if people realised that their weight wasn't an isssue of gluttony [in most cases] but rather one of genetics, they would actually be more likely to be able to deal with the situation than the current state, where fat people are made to feel guilty, worthless, or architects of their own destruction. The idea mooted in UK is a perfect example of what should NEVER be done - it can only increase guilt, which often leads to comfort-eating.
If stomach-stapling is an option for you, it's the one you should work towards. I've seen several people benefit immediately from the operation, including a former Prime Minister of NZ who was hugely obese when he took office. He pretty much melted before our eyes.
I have no idea how much it costs, but I imagine it ain't cheap. Would you be interested in starting a fund-raiser toward the cost of the operation? If so, please tell me and I'll try to start the ball rolling.
Cheers
Alan