"Obesity is not normal physiology. It is common, costly, and deadly. Pretending otherwise is not kindness—it is [pseudovirtuous] cultural anesthesia. …Obesity is associated with increased risk for type 2 diabetes, hypertension, fatty liver disease, sleep apnea, osteoarthritis, infertility, and several cancers. It shortens lives and drains public resources. To insist that these risks are merely inventions of stigma is to lie to patients under the guise of affirmation. …The obesity epidemic is not an accident. It is [a] product of incentives."