Fat is only affluence or ignorance or both... OR a mental health problem, WHATEVER that might be. I have relatives that are extremely obese but I can trace it back to problems they had when they were youngsters dealing with family and life "issues", which I consider a me(a)ntal heath issue... when you are young and don't know how to deal with a "situation" you may compensate with overeating. Maybe calling it a mental health issue is tooo strong a terminology but it is what it is.