We talk to foreigners with poor English using equally poor pigeon (or shout at them, depending on our ignorance), so why can’t we communicate to offensive people in language they will “understand?”

If dialogue is a two step process, we have a responsibility to enhance comprehension by optimising delivery.

We do this everyday with children, why not the obesive?

Unfortunately, the chemical means of behavior modification have the potential of airway compromise. They are titratable, but managing this airway may be more unpleasant than his earlier behavior.