It usually has to be done large-scale is why.  It doesn't work on your standard tumblrina because they just run back to their hugbox and have their enablers tell them how beautiful they are. What you see in Asian countries is large scale shaming and it works. You can't leave them with anywhere to waddle or they'll just soothe themselves with more food.  They must feel bad all the time.  It probably worked on this dependopotamus because she is fairly isolated and her husband and kids are her world.