Hard hard hard agree. I spent the better part of a decade in healthcare from free clinics to corporate and let me tell you - trying to convince some of these 'professionals' to treat fat bodies with respect was like pulling teeth with a pair of plastic pliers
As a community health worker I was regularly in rooms with patients and providers, empowering the first while reeducating the latter. By the time they put me into the equity department, every time the subject came up *everybody* knew my dark side was coming out and jumping down the first throat to step out of pocket
For those who may not know - part of why they all struggle are the number games. People are a collection of healthcare outcomes and actuarial cost tables. The outcomes affect staff bonuses, ability to gain/retain government contracts (like medicaid & medicare), marketing toward new customers, etc. The tables define how the money is going to flow based on assumptions about how much care you're going to need over time
They're just as worried about other patient demographic groups with layered health issues being expensive over time. Like meemaw and pawpaw being 80+ with specialized arthritic treatments that can cost tens of thousands of dollars per round. But we don't have the same culture of hate toward elders that we do bigger bodies nor the same kind of pity culture that infantilizes folks with disabilities because fat people could supposedly change everything about who they are to make society see them as acceptable