It truly is not a choice, as I cannot sustain my family / lifestyle with manual labor. Opting into working out for the sake of my health is not nearly the same.
Success and failure are choices. Accepting this allows us to take responsibility for the worlds we've created. Ignoring this is self-destructive act of cognitive dissonance and we pay for it years later.
Tell that to crop failures of sustinance farmers. "Oh you just chose the weather to be bad/a fast soreading disease/a severe drought. Live with your choices".