Honestly. They go through such trauma and marginalization and discrimination and the chairs and toilets aren't big enough and it all causes them immeasurable humiliation and PTSD, yet none of those terrible, awful burdens and cruelties ever make them think, "Gee, if I stopped eating so much life could be easier." Nope. The world must change to accommodate them and their huge bulk.  Oh, and it's very difficult to make a mask to fit a basketball.