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Updated: May 3, 2026

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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
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Beyond the code book: legal tools for accelerating progress in obesity prevention.
Julie Ralston Aoki1, Manel Kappagoda, Seth E Mermin
1Staff Attorney at the Public Health Law Center at William Mitchell College of Law in St. Paul, Minnesota.
Summary
Decision-makers can leverage the legal system for systemic change beyond regulations. This study explores non-legislative legal strategies to implement Institute of Medicine (IOM) recommendations.
Area of Science:
- Health Law
- Public Health Policy
- Legal Studies
Background:
- The Institute of Medicine (IOM) advocates for significant systems-wide changes in healthcare.
- Traditional approaches often rely on legislative and regulatory directives to drive change.
- Alternative legal mechanisms may offer novel pathways for achieving desired reforms.
Purpose of the Study:
- To identify and analyze methods, distinct from legislation and regulation, for utilizing the legal system.
- To provide decision-makers with actionable strategies for facilitating systemic healthcare transformation.
- To support the implementation of IOM-called-for changes through legal system engagement.
Main Methods:
- Review of legal scholarship and policy analyses.
- Examination of case studies demonstrating non-regulatory legal interventions.
- Analysis of legal doctrines and judicial decisions applicable to healthcare reform.
Main Results:
- Identification of judicial action, contract law, and tort law as key non-regulatory tools.
- Demonstration of how legal precedents can shape healthcare practices.
- Examples of how strategic litigation can advance public health goals.
Conclusions:
- The legal system offers versatile tools for driving healthcare reform beyond direct mandates.
- Proactive engagement with various legal avenues can accelerate systemic improvements.
- Decision-makers should consider a broader spectrum of legal strategies to achieve transformative change.
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