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I largely agree with you but, uh, doctors telling their patients to lose weight is, well, not covered under traditional etiquette(it is almost tautologically solicited advice), nor is it some sort of fat shaming- it’s doctors doing their jobs, which are to improve patient health and provide important advice to do so. I’m not discounting that doctors could generally improve their ability to do so, but health problems being downstream of weight issues is a real and very common thing that doctors have to recommend a course of treatment for all the time, and ‘resolve the underlying weight issue’ is in fact the most thorough treatment.
This is the standard "chasing zebras" narrative in medicine, and I've honestly never given it much serious consideration. We might hear about the odd obese person whose health problems were caused by something unrelated to their weight and carelessly overlooked by a GP, but for every one I'm sure there are at least 100 cases where the GP's snap diagnosis was right on the money. It seems the height of narcissism to demand that healthcare professionals disregard their training and ignore statistical fact (in fact, to demand that healthcare professionals administer substandard care to their patients) just because it makes some of them feel sad. (See also trans activists, who demand that healthcare professionals waste hundreds of man-hours asking 6-foot tall, bearded, broad-shouldered people if they are or have been pregnant recently.)
Sure, but the same is true of smokers, drinkers, drug addicts etc. and no one expects me to take the Alcoholic Acceptance movement seriously or check my Drinks-In-Moderation Privilege.
And from the fat person's perspective, they go to the GP saying "I have this new issue; I've had this body type my whole life, so that part is not new." and the GP is ignoring their history.
Well, that question has been on every medical history form I've ever gotten because they don't print different ones for men and women.
My father was getting a Covid vaccine in 2021 and the nurse was completing an intake form in which she verbally asked him the questions on the form and filled in his answers for him. She asked him if he'd been pregnant recently. In his 60+ years, he'd never been asked this question by a medical professional before. See also this article about a blood donor clinic which used to ask "for female donors only have you been pregnant recently?", but changed the form to ask all donors that, even donors who'd already explicitly stated that they were male and hence incapable of getting pregnant. (They changed the form back to its non-pseudoscientific version in response to public outcry.)
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And from the smoker's perspective, they go to the GP saying "I have this new issue; I've been smoking since I was in high school and I've never been coughing up blood before" and the GP is ignoring their history.
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