It's an admittance, not just that they don't think they will change and lose weight, but that they have zero intention of changing and losing the weight. By signing up for this list, they aren't even going to try because they think they've found an easy out.  They will die in an emergency. It's unlikely that dozens will be personally rescued in an actual fire. I'll laugh when it happens because this is it. This is the opportunity to solve a problem before it happens.