Purely anecdotal, but from what I've read on reddit and on voat, the powerless are already being forced to uglify themselves by so-called health care professionals. At BOTH sites, I've read about slim, normal BMI women who were "baker acted"/5150'd/etc  being forced to gain weight to a BMI of 25 or higher as "therapy", refusal to do so being grounds for keeping them involuntarily locked up for longer. And I've also read about young girls being bullied by their fat-cow mawms into gaining weight (because the cows are "worried about anorexia"/"eating disorders"   ; IOW, they're jealous because they're  old and fat and ugly and their daughters aren't-YET) , and increasingly, fat ass RNs/NPs are cooperating with the mawms in this abuse. So far, no MDs of either sex  have starred as the villain in these accounts, but it's probably just a matter of time.