I am not American, but I think you are unfairly dismissing the massive benefits GLP-1s have for people who struggle to maintain a healthy diet. It really feels like a miracle drug.
> It's insane to me that so many people need these to get off the processed foods killing them in the US.
Your comparison of your friends in Germany vs "insanity" in the US doesn't feel relevant
Adding an alternate data point, I was a heavy Linux desktop user, and had an adjustment period when my workplace gave me a Mac 10 years ago. Yes there are random differences. However, now I wouldn't look back for my personal compute needs.