In 1990, no US state had more than 20% obesity. In 2018, no US state had less than 20% obesity.

[0]: https://obesity.procon.org/us-obesity-levels-by-state/ and https://stateofchildhoodobesity.org/data-by-policy/

Obesity has been linked to a huge number of health harms and they've been known for decades.

[1]: https://www.who.int/news-room/questions-and-answers/item/obe... and https://www.niddk.nih.gov/health-information/weight-manageme...

I think you may be right that there's room for nuance about obesity, especially moralization about it, but you simply cannot deny that it's a huge problem in the US