Ami, you and I agree on a great many things but we have to disagree on this issue.
Yes, there are specific disorders and genetic issues that confound weight loss. These are, however, rare and in most cases THE FIRST STEP in diagnosing these disorders is a dietary regimen that will induce weight loss in most cases.
Where is your scientific proof that says these things are rare? They're actually not rare at all.
Genetic and environmental issues are a huge component of this story.
A 2006 report in Science that studied more than 900 people showed that those who have two copies of a specific gene variant (called Insig-2) were 22% more likely to have a BMI higher than 30. Researchers believe the gene variant affects the regulation of another gene involved in fat production. In follow-up studies of more than 9,000 people (including people with Western European ancestry, African Americans, and children), they found that about 10% carried two copies of the gene variant.
The strength of the genetic influence on weight disorders varies quite a bit from person to person. Research suggests that for some people, genes account for just 25% of the predisposition to be overweight, while for others the genetic influence is as high as 70% to 80%.
And telling people to eat healthy and exercise is nice (and we absolutely should try to do this in more active and engaging ways), but someone with some of these issues will have an infinitely harder time of it. A comparison would be the way institutional racism works (bear with me - I'm not comparing obesity to racism, but the statistical probability of success in either case). Yes, an individual of color can still possibly achieve success despite the road blocks that make it significantly harder to achieve that success. But telling that person it's easy if you just do X, Y and Z is nonsense. It's just not true. They live by a different set of factors than you do. For someone with these issues, it is exponentially more difficult to be successful in not just losing the weight but keeping it off. That's indisputable science. That's why it's important to actually be able to take yourself out of the equation and put yourself in someone else's shoes.
Let's just bulletpoint
some of the issues at play:
● Genetic (More than 400 different genes have been implicated in the development of overweight or obesity)
● Physiology (metabolic rate or how fast you burn calories for ex.)
● Behavior (types of foods you choose to eat, for ex.)
● Satiety (your ability to feel "full")
● Your level of mobility (some people physically cannot be more active for one reason or another; heart problems, disabilities, access to safe environments for play)
● Your family history ("If both of your parents have obesity, your likelihood of developing obesity is as high as 80%.")
● Environmental (access to types of foods, the way a country advertises or prices certain foods, your level of economic prosperity)
And the issue is you and everyone else have no clue where someone falls on this spectrum. Much like one person may be able to quit drugs easily and another may fight the disease their entire life, it shows a profound lack of empathy to not understand just how different the human experience is from person to person. And this is why it's important we teach that skill of empathy. Because there is so little true understanding people have for life experiences outside their own narrow sphere.
We cannot change the attitudes and stigmas surrounding fat and obese people without first educating and fixing the VOLUNTARY obesity epidemic. Once we've established proper nutritional guidelines from the top to the bottom of our culture and we've stopped people from slowly killing themselves with sugar laden sodas and fat injected deep fried bullshit, then we can focus on increasing acceptance and awareness of non-voluntary obesity.
We absolutely can. Because the first thing we should be teaching everyone on this planet is not to be a hateful little shit. We must punish the perpetrators, not the victims. If someone makes a poor life decision that is inflicted harm to themselves, the appropriate response is not being an asshole to them. Not only does this usually make the situation worse, but it's just a gross way to be to people. So, teaching people to be kind to others is actually part of helping improve the odds of weight loss or quitting drugs or whatever issue there is. Until the day you have superhuman mental capacity to see what precise issue made someone obese, this whole behavior needs to be squelched in the most dramatic way possible. Yes, we'll never stop it completely. But the reason it is
this bad is because society as a whole has made it acceptable. Kids see their parents fat shaming people on television or discussing impossible standards of beauty. They internalize it. And then they become the monsters themselves.
Everything else follows. If you have empathy, you will create proactive campaigns of weight loss where the entire community might be lovingly involved. You can create systems of improvement wherein it is understanding for the individual suffering (few people actually
want to be obese), rather than trying to say such hurtful things like "it's easy." It's not much of the time: science proves it. And I believe in the research, not my gut feeling.
Now, I agree, that educate on non-voluntary obesity needs to be better and awareness of these issues is piss-poor. We can't let that get in the way of proper healthy advice for people who need proper healthy advice.
Nobody is saying don't give healthy advice. We're saying that giving the advice is just a reduction method; many will remain obese, and many of those people will be obese for either reasons completely out of their control or for reasons of it being incalculably more difficult to lose and keep off the weight than it is for you.
So we can and should have these campaigns for healthy living while coming down fucking brutally hard on people who think it's OK to be awful little shits to their fellow human beings.
Thing is this isn't true in almost all cases and everyone knows that.
Or it is and the US is very special in that regard.
There is no actual way to quantify how often it is true. That's the problem. Because in every case, it is always a complicated mix of factors. Those factors may simply be easier for some than for others. And those factors range wildly from person to person. Trying to 'default' to mistreatment of a group of people whom you have literally no idea what led them there is just inherently wrong. It's a far bigger social problem that there are people who think that's an OK way to be behaviorally.