Obesity is a health issue, and it's a serious one. But the conversation about it tends to center around self-image and self-worth, and the fact that obese people should not feel good about either of those things. And we associate obesity with negative character traits and lifestyles. So, as long as obesity is framed in these terms, it's going to hurt our ability to talk about the only part of it that matters: health. I see "activists" like Tess Holiday as a reactionary or counterbalancing force. I mean, "All About That Bass" would have no lyrics if fat people hadn't been told that they should feel bad about they way they look or that nobody would find them attractive.