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Biologically, obesity could be seen as a win.

It is the natural consequence of the human body's strategy for finding enough sustenance to drive that big brain over an evolutionary timeline that was mostly dominated by scarcity.

We like to call it a disease because we want to live longer. But all of the consequences happen after most humans have procreated, so there is no evolutionary pressure[0] to change it.

[0] Yes, I understand evolution isn't quite that simple

Obesity reduces fertility for both sexes. This is one of the factors behind declining birth rates.