Marigold- you do seem to struggle with other's appearances. Maybe it comes from working in a plastic surgeon's office? Maybe you think people really ARE what they look like. Dunno.

I think you need to read up a bit on food addiction, compulsive eating disorders, etc. It isn't really as simple as you seem to find it. It really isn't a matter of choosing between looking good/being healthy vs. putting McDonalds or the like into someone's mouth.

Food addiction/compulsive eating has long been recognized as a disease/disorder, not just a "choice".

No, I do not struggle with either, thank goodness. I am not making excuses for myself or anyone else. BUT, I do have a limited understanding of the area, and it isn't as simple or black/white as you make it seem. If it were? 99% of the people that struggled with weight loss wouldn't be struggling with it.