Now these women are coming in to get treated for cancer. They miss appointments because they had to pick up the kids from school or they didn't have a token for the bus. It is difficult for the doctors to understand why they miss treatments, why they don't purchase their medicine. They are accused of being noncompliant or not understanding the severity of the situation. Of course they understand, they're just so accustomed to putting everyone else first, that even their chemotherapy is secondary to being able to go in for their shift or watch the kids. I'm not trying to stereotype women as martyrs or angels, I'm just retelling the stories that I hear over and over again, every single day. To me, this is why feminism belongs in public health.
Many of these women are also obese or overweight. When you live in a neighborhood where there's no grocery store for miles but there's a 7-11 on every block, eating healthy becomes a joke. When you live in an area where even little children know to duck when they hear gun fire, taking a walk around the block is impossible. When you get off of a double shift and there is no food in the house but at McDonald's there is a dollar menu, what do you do? When you give everything to other people and the only thing that you have just for yourself is a candy bar or a bag of chips, how can you go on a diet?
Fat acceptance people love pointing to these women as an example of how anti-obesity activists are actually classist jerks because low income folks are made fat by oppressive systems, but then in the same breath, denying the relationship between eating habits, exercise and weight. Many of my colleagues in public health (the classist anti-obesity activist jerks) are working with communities, trying to make sustainable changes. These include programs for nutritious school lunches, subsidized fitness programs, setting up farmers markets, etc., etc. It's a big job with no easy answer, but there is a lot of community buy-in, as community members see with their own eyes the effects of poor health, poor nutrition and obesity. The last thing these communities need is fat acceptance, with their all-talk-no-action, I'm okay, you're okay drivel. Fight medical discrimination against fat people, that is awesome. Just don't deny their reality.