I am a nurse, and I remember when a morbidly obese patient who had knee pain asked me if she should have her insurance pay for a wheelchair so she could get around at work. I told her that it would be better for her health to try to ambulate, instead of using a wheelchair. I was very nice about it, but perplexed that this obese woman did not even want to walk at her secretary job a few feet per day in her office. For that, I got a complaint letter to my supervisor from this obese patient. Her complaint was ignored. In my current job we are told not to use the word “obese” because that is now considered insulting. I cannot wait for retirement. I am sure the Bit doctors are very happy about this rule.
From the perspective of fat psychology, this would be like sticking a pitchfork into her. It's baffling, because clearly you care more about this person than her destructive enabler friends who tell her whatever she wants to hear.