That's exactly it. I've mentioned a woman on my Facebook who had the sleeve one. The psychologist denied her for surgery because she didn't believe she was going to follow her plan afterwards. So the fat reeed to a bunch of people at the clinic till she got around the shrink. She was planning to do bypass, but her liver was too big (which means she didn't follow her pre op liquid diet, even though she swears she did) so they opted for sleeve. She lost almost no weight, then stopped losing completely. She's now scheduled for another surgery to try the bypass again! And in case you were wondering, she can't work or drive due to condishuns, so yes Medicaid is paying not only for all the surgery and pre/post ops care, but also her transportation to and from all appointments. There are a lot of those. She lives about an hour away.  Of course she swears she follows her diet plan religiously, and literally cries any time she talks about any of it, always acting like the universe has wronged her. Once she even complained about her appointments being in the morning (due to the paid for transportation schedule) because it was just TOO HARD to change her sleep schedule, since she was used to being up till dawn and sleeping during the day.