Here's the crux of the issue; for most people who are fat, finding a way to take care of themselves is so onerous, complex, and difficult that they're not technically stuck, but they're effectively stuck. If you need to drive more than an hour to get access to food that won't be terrible for you, it's not surprising that so many people have a problem.
Their choices led them to get stuck and their choices are the only thing that can get them unstuck. Maybe they don’t want to get unstuck, who are we to tell people how to live?
Here's the crux of the issue; for most people who are fat, finding a way to take care of themselves is so onerous, complex, and difficult that they're not technically stuck, but they're effectively stuck. If you need to drive more than an hour to get access to food that won't be terrible for you, it's not surprising that so many people have a problem.