Overweight or unhealthy people who refuse to attend exercise sessions could have their benefits slashed, in a move proposed by Westminster Council.
GPs would also be allowed to prescribe leisure activities such as swimming and fitness classes under the idea.
The Tory-controlled council said the aim was to save £5bn from the NHS budget when local authorities take over public health provision from April.
BMA member and GP Dr Lawrence Buckman called the idea "draconian and silly".
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