I don't think I can respond directly to your first point, as I think we are working from very different premises. I think being fat is normal and okay, and you think that it is inherently unhealthy. I recommend the Health at Every Size reading from last week if you would like to understand where I'm coming from.
and I think you can just as easily say having a body is medical. The emphasis in my phrasing is arbitrarily, it's difficult to say what is obese and what isn't, as body fat is distributed differently across races, body types etc.