Now this is a major issue:  "Why Do Obese Patients Get Worse Care? Many Doctors Don’t See Past the Fat — You must lose weight, a doctor told Sarah Bramblette, advising a 1,200-calorie-a-day diet. But Ms. Bramblette had a basic question: How much do I weigh? The doctor’s scale went up to 350 pounds, and she was heavier than that. If she did not know the number, how would she know if the diet was working?"  A populace that is so uneducated on health and nutrition that they don't know that it's mathematically impossible not to lose weight at over 350 pounds on a 1200 calorie a day diet. What's worse is a doctor who is so incompetent that he can't tell her that. If your clothes get bigger you are losing weight.