I've had almost exclusively military doctors for nearly two decades, and I can tell you they aren't trying to respect your feelings (not that they're dicks). If your tests come back with high cholesterol, they aren't jumping to Lipitor or some shit, they'll refer you to a nutritionist and tell you to exercise more. They have no problems telling you that your health troubles come from that weight crushing your organs and joints.
And that's as a person in the military, who has to maintain a certain level if fitness to keep my job.
Got a lot to say but I'll keep it brief-ish. Corporations love unhealthy people. They will artificially celebrate this and reinforce unhealthy lifestyles. This extends beyond weight.
Once entrapped, escape is hard. Some are passive and depressed. Some are dismissive and defensive. No matter which cycle you are in, it's unhealthy.
I think smoking is bad like I think being overweight is bad. If a doctor says alcohol is killing you, it probably is. I don't think hatred is deserved, but don't expect any validation for those choices.
Me: "I've tried everything I am physically capable of trying short of anorexia. Ive tried to walk. Ive tried lifting weights. I've even starved myself. 200 calories every other day for 3 months. Nothing works. I think I may have a legitimate medical issue"