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So does being fat though,
Excess fat lives in your tissues and puts more strain on your body.
This is never good.
That is a myth - for many people, trying to lose weight is counter productive to living a healthy life.
Sometimes sick people are/get fat and sometimes being fat can strain the body. But trying to make your body thinner than it wants to be is also associated with strain on the body.
I am not trying to say, that fatness and health are totally unrelated, but the correlation is not as important as our culture makes it out to be.
This article explains it quite nicely.
https://www.science.org/content/article/obesity-doesn-t-always-mean-ill-health-here-s-what-scientists-are-learning
There are such cases, yes. The vast majority of fat people I know personally however are fat because they sit at an office job all day while having KFC for lunch everyday. No matter how you spin it, this is extremely unhealthy.
An unhealthy lifestyle can cause you to get fat but being fat doesn't necessarily mean you live an unhealthy lifestyle.
The focus should be on the lifestyle and not on how people look.