Here's my experience in primary care: obese parents bring in their obese child with a complaint of some minor illness. My sense is they tend to be less confiden

Here's my experience in primary care: obese parents bring in their obese child with a complaint of some minor illness. My sense is they tend to be less confident in themselves than leaner folk, so they tend to resort more frequently to more physical positioning to get an antibiotic for their kid's viral URI. It probably doesn't help that they had to endure more stress at home before rising to the necessary motivation to move, then moving itself is more of an effort. By the time they've been sitting in the waiting room for an hour and the clinic room for 10-15 minutes, they're just in a foul mood. Being in a closed room with large, physically unhappy people can be intimidating, never mind that there's a waiting room full of other patients. Rather than addressing ancillary issues head on, it's infinitely more convenient to focus on customer service for their immediate issue. The issue needs to be addressed in a more benign setting.