Imagine the impact on the GDP of the US if obesity was largely eliminated and diet and exercise incentives were included as part of health plans (eg free membership to fitness clubs and access to certified personal trainers with a 20$ copay). That’s a big reason why it hasn’t happened; instead the focus is on doctors and hospitals treating acute issues instead of preventing them.
Such "Wellness Programs" do exist for health plans in the US, where you get incentivized (e.g. discounts/waived fees/increased coverage) for following whatever behavioral constraints they asked for (e.g. going to a gym, exercising regularly, and so on).
They're not universal, but they are a thing in some cases.
Personal trainers don't cost much more than the equivalent of a $20 copay a session - when I had one it was $250/month (that's equal to $58/week) and I think I got three sessions a week. That's slightly less than $20 a session.
Most personal trainers that I’ve hired cost a minimum $100 per hour. You are getting quite a great deal. That rate is equivalent to the cost of a group session in my area, which does not include individual attention.
