If you are on welfare, you often need to be in a work-prep program for a few hours a day or even a week, or show that you applied to a handfull places every month... Why should it be any different if you are on disability? If you are disabled, you are seeing at least one doctor, and most likely a bunch. If your disability is due to being obese, you should be seeing a dietatian, taking part in individual and group therapy, etc. For extreme cases, they should be hosptailized and monitored so they are unable to self harm by overeating. At the very least, they will see that CICO does work because when they are restricted to 1000 calories a day, they will start to lose weight even if they refuse to move around.