Its inconvievable to me how this wouldn't force you to change your lifestyle. There have been multiple points in my life where I've looked in teh mirror or got a bit winded doing something routine that forced me to get after it again. I can't imagine literally squeezing my way down an aisle, looking another human in the eye and wedging my fat ass into a seat for at least an hour and thinking it's OKAY. I'll give the 5% of obese folks out there with actual medical conditions that make it REALLY hard to stay fit but the rest have issues.