Thanks for giving me the extra impetus to go read Harding's blog--some good stuff there. With the caveat that I haven't read any of her fat acceptance stuff except what's near the front of her blog, I understand the problem as being that many doctors won't tell fat people anything except that they need to lose weight. As in, won't diagnose or treat much more severe problems, because they're too focused on one relatively minor issue that carries a big cultural stigma.