There is something she is not telling you. More likely she did not make an effort to lose weight and was denied over concerns from her doctor.
A guy at the gym was obese and they required he lose 90 lbs before they did the transplant because if he was the same weight he would not be able to do the grueling rehab that is required for the transplants to be successful.
No, she has made efforts to lose the weight, including recording every bite that she eats. The doctors have decided that her problem is hormonal. She is actually fairly active, as well. She runs a small farm with cows and goats. The county gave her too much trouble over the pigs, but she used to raise them, too.
The insurance representative told her that even if it was a heart attack, they would not cover it, if the doctor attributed the heart attack to her weight.
The insurance was union insurance. Her husband is a member of the electrical workers union.