While obesity is precipitated in many cases by personal choices, the physical consequences long-term should be coveted by Medicare to help. Inactivity can be a result of illness or injury and is one of the leading causes of obesity. Medications also are known to cause weight problems. So while it would be easy to say that obesity can be controlled by food choices and activity, many medical problems can contribute to obesity. Medicare should allow for the many treatments of obesity as there are many causes.