On the other hand, some manifestations, like obesity, are often treated with contempt and horror.
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Contempt and horror are wrong. Just as the ER people being snide and nasty. And as others have noted, someone is an enabler here. That person - as well as Donald himself - is the real enemy.
Donald was his own enemy, and the person who provided him such large amounts of food, when he could not access it himself, was also his enemy. However, Donald was not my enemy.