In part 1 we discussed the basics of substituting weight loss for healthcare and accommodation. In part 2 we discussed issues with the likelihood of achieving weight loss, even if it was appropriate to insist that higher-weight patients become thinner before accessing care (and I don’t believe it is.). In part 3, we discussed the issues with weight loss being promoted as a solution to accessibility. Today we’ll look at a real experience with this. Many facilities, including physical and mental health in-patient facilities fail to have beds, chairs, lifts, imaging equipment etc. that appropriately accommodates higher-weight people. Instead of accommodating them, currently they can simply refuse to admit them.