Quoting snglemama:" you DO have a choice. You choose to leave your body the way it is. Obesity... puts you at risk ... [snip!] ... work and PAIN for the nurses.. and increased wait time for assistance for anything that has to do with movement, transfers etc."
This is actually a false statement according to many research findings. While many can and do lose significant amounts of weight, the majority of them fail to keep it off. It isn't just an issue of will power either. You are struggling against your bodies internal systems.
When someone is fat, they're body (through poor diet, chemicals in food, or yo-yo dieting, or genetics for instance) has driven up its set point weight. This is a weight that the body is programmed to fiercely protect within an approximate 20 lbs range. A person who has lost a significant amount of weight the body will slow the metabolism and send intense hunger signals because it interprets the weight loss as a shortage of nutrition in the environment. One researcher compared it to holding your breath. You can do it for awhile but then the body's urging for you to breathe becomes stronger... and so it is with an obese person who has lost a large amount of weight.
If someone can manage to keep the weight off for 5-6 years, the body readjusts and the drives diminish. That is why only 2-5% of people who lose weight through dieting actually keep it off. It is an extremely difficult thing to do.
There is also a problem with focusing on weight loss as the goal. Weight loss is a fickle beast and when a person's weight isn't showing a significant improvement, people give up and go back to the old way of life. If we focused on a lifestyle that promotes doing healthy behaviors because they make us feel good, learn to accept ourselves as we are, learn to listen to our bodies and eat when we are hungry and stop when we are full, and seek activities that we find enjoyable, our bodies will eventually gravitate towards a healthy weight for us... and thin isn't what a lot of bodies choose.
I found a forum called http://fitfatties.ning.com/
if anyone is interested.