They're so far removed from any real esteem or pride in one's self that they glamorize having diseases and disabilities. Meanwhile, actual humans with disabilities work hard to live their life to the fullest in spite of those problems. If you told someone with a real problem, "Hey!! We found a solution! And it's free, all you have to do is follow this program and it's permanent, you'll always be well so long as you follow these simple rules!" they'd be thrilled. You explain cico to fats and they reeeee at you. Their problems aren't real, they're just assholes.