I think this is one of the biggest challenges I see in terms of "fat shaming" It would appear there is a direct correlation between how much additional weight people carry and the general tolerance level for obesity in that community. If we remove fat shaming altogether it's likely more people will become sicker and die faster.

It's worth noting that my cousin also moved to SoCal. She's now in her 40's and snorts cocaine 2 or 3 times a week in the evening to skip eating to keep herself slim. Apparently it's a very common practise amongst her and her friends.