Tens of Millions Will Die Prematurely
We already know the truth: roughly 70% of Americans are obese. That number is not going down. It is locked in by behavior, economics, and biology.
There are only three things that could materially change this trajectory:
Appetite reduction (Ozempic-class drugs),
Portion control (eating ~25% less food
A complete restructuring of the wellness world
None of these will occur at population scale.
The wellness industry has failed. “Eat healthy and exercise more” has failed. Robert Kennedy–style moralizing about food has failed. And pretending obesity is a food issue rather than a quantity issue has failed.
So the math is brutal and unavoidable:
If you are obese, the diseases that follow are not optional. Diabetes, cardiovascular disease, joint failure, increased cancer risk, cognitive decline, stroke, fatty liver, depression— they are statistically baked in. And with them comes a shortened lifespan.
This means that most obese Americans will not live to 75. Many will die much earlier — not because they weren’t “trying,” but because appetite, portion size, and food volume were never addressed because they conflict with commerce. And our real god is not jc but money.
Calling this anything other than a mass, predictable, premature die-off is dishonest, but no one wants to hear the truth.
Maybe Sam can explain this slowly because apparently we’ve been “confused” for decades.
Seventy percent of Americans are obese.
Not “heading toward.” Not “at risk.”
Already.
So please stop with the yoga mats, the green smoothies, and the inspirational quotes taped to the fridge. I don’t care how mindfully you chew your beloved protein, if you’re still binging nothing will change.
If you’re obese, the diseases aren’t optional-- they’re on the menu. You don’t get to opt out by “trying.”
Which means this is not a longevity conversation.
It’s a premature death pipeline.
Most obese Americans are not living to 75.
Many won’t make it close.
Not because they’re lazy.
Not because they’re bad people.
But because appetite was never addressed, portions were never reduced, and the wellness industry sold movement and morality instead of math.
I’m Sam Stomach.
I don’t respond to motivation.
I respond to less food.
And until that happens, this story ends early — for tens of millions.
Brutal but necesary framing. The appetite piece is what almost nobody wants to acknowledge because it implicates both biology and commerce. I tried portion controll for a while and the hunger signaling was so relentless it felt impossible to sustain. The wellness industry profits from selling movement and motivation while ignoring the actual caloric math that determines outcomes.
Was hoping with the presidents changes this year, I would be able to get the medication, but my insurance still straight out refuses to pay. 😞 of course it’s not their fault I’m still so fat, it’s my own failure. But still, it’s disheartening.