If everyone wasn't so fat and people became ludicrously fat at 250lb, like it should be, people would turn it around when it was still easy and possible. It's just one of the ways the obesity epidemic feeds itself.  For example, the therapist who said a weight that calculates to a 31.5 BMI "doesn't sound obese to me."  And all the smallfats and not-so-small fats in denial on dating websites who get full of righteous indignation--"I'm not obese!", etc.--and, in the case of FetLife, sic the admins on you and get you banned.  And I don't mean for making fun of fats FPH style.  Mere statement of facts and preferences enrages them.