many people have the gene just like people with alcohol problems. There are diseases such as Huntington's that is gene related also .. that doesn't make it any less of a medical situation that needs help. Call it whatever you want but people who need help need help and that is the problem with no universal health coverage.   It is like insurance not covering birth control pills but will pay forever for a child that is born. people who need help need help and am far from obese by any measure and stay in shape, but that doesn't mean everyone can for a host of reasons. It is not "they just like to eat" it has a lot to do with gene's I think. My daughters, my family can eat like an anaconda and not gain an ounce. Some people walk by a burger and gain two lbs. It is a problem for many and help should be there