Theres a whole host of issues, many of which are already mentioned, but two other big ones are treating it more as a health issue rather than a moral one, and improving healthcare - especially mental health care.

People don’t realize, but a lot of obesity cases are tied into other health issues - especially mental health. This is doubly true for more extreme cases. For a very simple example, those who are neurodivergent often struggle with specific stimulations including food textures (limiting food options), especially in combination with food deserts or areas with little selection. On the other hand, this can often be improved or worked around with medication and/or therapy. Medication such as antidepressants or antipsychotics causing weight gain is another very common example, and while it isn’t as easy to avoid, better medical support can make it easier to manage, especially if you need to change diet as a result. For a more extreme example, trauma is very closely tied to weight gain and eating disorders. Watch any episode of My Six-Hundred Pound Life (or better yet, don’t), and you’ll notice that almost all of them have significant trauma. For example, childhood abuse can lead to difficulty self-regulating, or sexual abuse can cause someone to feel that being “”“ugly”“” will help prevent future assaults. These examples just scratch the surface too, and things only gen messier when you have comorbid conditions. Just imagine, for example, someone with OCD affecting how they eat, depression treated with a weight-gain causing medication, and PMOS (a hormonal issue common in women, which often makes it extremely difficult to lose weight). Doctors often ignore or struggle to treat any of these individually, nonetheless all three together, and thats before we open the conversation around affordability.

Given this, and just how sensitive and defensive humans are in general, that makes it all-the-more important that we treat people respectfully and kindly. Even ignoring basic decentcy, demonizing or mocking people for their weight delegitimises efforts to change systematic barriers, makes accessing care more difficult or unfriendly, often wastes time or confuses with “advice” that is unhelpful or outright destructive given the context of someone’s medical background (I.E. telling someone with an eating disorder to control their eating more), and increases stress, which in turn, makes medical issues worse and harder to cope with. Instead, if we treat it as a medical issue, we avoid all of this and stop moralising or hurting people already struggling.