America is one of the few countries where an individual can be obese and malnourished at the same time. Certainly it relates to what we choose to put in our mouths, but it also relates to cost...

If you're unemployed or poor, the 6 pack of ramen noodles - with all of it's salt and fat - can be purchased for 1.99. Fresh veggies and fruit, at 1.99 lb and up? That's a luxury for many. Our own government food programs provide some of the crappiest food available (government cheese, anyone?).

U.S. insurance companies will not pay for proactive treatment for individuals who are on the edge of being obese, or are there. Dietary consults, etc. are reserved for those who have already developed obesity related diseases such as diabetes. And wouldn't it be in our insurance company's best interests to reimburse for gym memberships or other pro-health exercises? Unlike many of the people on this thread, I have never worked for an employer that paid for gym membership.

Certainly there is individual responsibility involved (I'm no centerfold), but there is also a serious lack of support mechanisms within our society.