People in other first world are far more responsible with their health than Americans. Their government promotes healthy diet and exercise. Government in this country is in the back pocket of conglomerate food manufacturers. There are five or six companies owning just about all the brands you can name. Combining government with food manufacturers and unhealthy slops and there's your recipe for disaster.
I rarely see a doc. My last visit was more than five years ago or even longer. Why am I subsidizing unhealthy folks because of their choice in life? I don't mind the folks who are born with conditions.