I work for a health region in the prairies and I see death fats more frequently than I'd care to. Hell, I've seen a number of death fat nurses (my pig of a sister is bordering death fat and she's also a nurse within the region). The city I live in is also a farming community, so it's not completely over-bearing. Most of them I see at the main hospital. I see a few on scooters (it's always the same ones). I've seen one that spilled over the sides of a fairly large armed chair at the hospital (she/he/it was also eating a box of wings from 7-11).