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We've tried a few decades of fat positively and just pretending that being fat isn't a personal failure, and just a symptom of society.

Fat positivity? It's not really a popular position, and is in fact regarded as a loathesome movement.

You think every fat kid, especially those bullied, don't want to be thin?

You think shaming is going to work? That's an uphill battle, especially against the human body and the urges it generate, the causes we do not fully understand.

Normal healthy humans are supposed to be able to self regulate their weight at a healthy level. I have seen at least one friend who has an atrocious diet, poor eating habit, and yet remain rail thin.

If shaming did work, then it would have been implemented widely and obesity is solved. But it's not. We don't have anything that works as well as ozempic.

I am all for taking responsibility, but we ought to be cognizant about the current limitations of our tools and flexible at how we would solve problems, rather than sticking to dogma or trying the same thing over and over again and expecting different results.

For example, I found a psychological trick that enables me to work long hours. Tricks for eventually getting rid of bad food addiction(sadly, I am at it again).

You may simply not be aware of the extent of the movement. The fat acceptance movement has attempted to recast the issue not as a health issue, but as a civil rights issue, where criticizing fatness is violating the civil rights of fat people. There is a National Association to Advance Fat Acceptance (NAAFA).

https://en.m.wikipedia.org/wiki/Fat_acceptance_movement

Online there's tons of content encouraging fat gain - for example Tiktok women celebrating "BBW" as a sexy thing and the r/PlusSize subreddit, where members encourage each other to remain "big and beautiful" and post anti-science content claiming that being fat is healthy. I saw for example a post by a 20-something woman who was morbidly obese and had had a blood clot in her leg but everyone was still insisting she was a "healthy" type of fat person, herself included.

Of course you will find very few doctors who will endorse this movement or its ideas. And the vast majority of us understand that obesity is unhealthy. But the fat acceptance movement has almost certainly played some role in making people believe that obesity is less dangerous than the research shows.

I won't be shy about my view here, obesity is a terrible disease and if you have it you must take steps to cure it. If you don't your quality of life will be lower in dozens of ways and you will die younger, probably not in a comfortable way. (Not to mention that its economic cost is enormous... a principal way that you can reduce health care costs personally, is to not be fat.)

First and foremost we must renew society's understanding that this is a disease, acceptance is not an option, and it must be prevented, treated and cured.

> If shaming did work, then it would have been implemented widely and obesity is solved. But it's not. We don't have anything that works as well as ozempic.

What kind of reasoning is this? This is only true if you believe good policies always get implemented. You'll notice other countries like Japan don't require every man and child to be drugged to stop eating food, and they have a much stronger sense of shame for being an undue burden on society.

It's pretty easy to believe that fat shaming would be widely implemented, since it is in fact widely implemented even without being policy.
No it's not. Official policy is to be nice to fat people and to pretend that they're not doing anything bad.
And reality is to mock them regularly and frequently. In media, in comment section, in real life.