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All I can say is try losing 20 pounds and keeping it off for two years and how easy it is. Fat shaming might make a difference but I suspect it would be like knocking off 5 lbs from the average where you really need to knock off 50 lbs.
You only started seeing Victoria's Secret getting fat models in the last few years, the obesity epidemic on the other hand started in the Regan years. Maybe it's like taking your belt off when you get heartburn (though I know if I go that route pretty soon I'm going to need suspenders) Try
https://arxiv.org/abs/q-bio/0312011
for a theory that may be wrong but fits the chronology.
(1) A remarkable example of a private agency that has pushed safety standards beyond what the government who do own its own, and
(2) An organization that has persuaded Americans to buy larger vehicles than they would have otherwise with all the associated costs (e.g. the “affordable car” crisis) and risks (to pedestrians.)
The IIHS is an organization of insurers so they are particularly concerned about quantifiable monetary costs. And when it comes to that much more of the benefit of larger vehicles is in avoided minor injuries such as broken bones which are more common than death and life changing injuries. The public focuses on the latter and the psychology is such that some people will spend another $50M on some German vehicle and spend the rest of their days at the dealer fixing it or subject their children to the trauma of riding in a minivan. (To generation X the minivan is like the toxic PFAS GenX)
IIHS claims that compatibility has improved between large and small vehicles but that large vehicles are still a menace to other road users
https://www.iihs.org/topics/vehicle-size-and-weight