The comment author has zero moralizing and zero denial of quality of life benefits, or any of this. They simply seem to say that if a person doesn't eliminate the root cause of their obesity, they will still continue to suffer from health damage (or maybe even more, tbd) despite the actual benefits of this pill - and this is not discussed, unlike the hyped-up benefits, which btw may mislead people to think that they shouldn't change now that their appetite+weight is magically reducing, and all-positive publicity also encourages people who have little need for this pill to hoard it and drive the price(profits) up.

A number of other things you mention are pretty subjective. It's just as hard for me to diet and exercise when I'm BMI 19 or BMI 25. In fact, that's true for 90+% of people, because everyone almost universally rebounds to bad habits, in all studies. This "power through a long-term health journey" is your whole life, always, there is no start or stop to this until we die or give up, even with this pill. The pill may help with the BMI part, but it obscures the fact that there is still very real health damage from bad diet and bad lifestyle no matter what your BMI or even visceral fat is.