At a cocktail party the other
evening I had a conversation with an apparently healthy, aesthetic and
mature-in-years man who's job it was to run a local dive experience. 
This is a daily tourist-oriented adventure out onto the reefs here around
our island.  As the chat got going it became apparent that his
experiences with people was extensive and he quickly brought up the
subject of obesity in Americans. 

He especially bemoaned the large
size and poor state of the health of so many of his country's "tourists." 
Apparently their jumbo size demanded from him and his staff extra work
and considerations to get them outfitted and in and out of the boats
when on the reef.  He then proceeded to tell the story of one woman
recently getting her hugely obese knee caught between the rungs of the
boat ladder and then complained that there should be a lift available,
or at least a ramp off of the stern, to allow her to enjoy the use of
the facilities like anyone else.  And also, she complained that
she needed assistance because she has "chronic lower back pain!"