I don't understand why the enablers don't just stop when the obeast becomes bed bound. (Granted, it should stop long before that, but let's just use immobility as a cut-off for simplicity's sake.) If your family member is bed bound due to obesity, why don't you just stop bringing them shit when they bellow at you for it? What are they gonna do if you don't bring it... get out of bed and beat you up? They can't because they're immobile. This is what makes me think that there's some sort of sick gratification the enabler gets out of seeing their loved one like that.