Every drug addict that I've personally known has been better off than fat people too. And that includes the ones who ended up dead. Not a great life by any means. But even the worst of them was still pretty active. Not wheezing when walking short distances, not needing their poison of choice as much as fat people need sugar etc etc.  Things are bad enough that I don't think most people even realize how much fat takes out of people. But come summer you see them staggering around and it really clicks how bad it is. Even the "just' overweight people have essentially crippled themselves.