Being obese is always a choice. Being fat is not. Some people can be at a healthy weight and look fat. I have seen it. I personally weighed 340lbs 6 years ago. I lost 140lbs in 10 months. I kept it all off for about 4 years, dropped down to 187 for a few years I am now back up to about 240, married and cannot exercise do to an injury. I damn well is a choice, I have chosen to pig out on food and get fat.