From my personal point of view it is terrible, a perfect example is it being suggested as a way of saying "hey you're obese - sort it out" by the NHS to get out of providing particular services, it gives you a suggestion in the future it may get abused in that way. May sound a little extreme but that's what puts me off it, as you say, interpretation counts hugely - I don't think its a tiny minority of people and so it doesn't make it a very effective system!