He's saying we already have completely fucked our reward system.
That's why 75%+ of American are literally eating themselves to death. And they can't stop. And no, "discipline" isn't a solution.
If anything, I'd say Ozempic brings our reward systems to be more in line with modern reality. Monkey brain doesn't work when you have the unhealthiest food available constantly at your finger tips.
Regardless of your stance on anything, it should be obvious we have a HUGE problem. I'm sorry, but a "do nothing and hope it works" approach is now off the table. We need real, tangible solutions. Not moral grandstanding.
