Irrelevant. It is not more healthy to be fat than it is to be not-fat because it's hard. Acceptance is not going to change a damn thing about the health risks inherent with being fat.
You have all my sympathy. One of my closest friends is a very large guy, and I want him to be around when we get old, but the stats tell me that's less and less likely every year he stays obese. Me accepting him (and I do) won't keep him on this planet. :(