Mr. Hoft ignores the most important change, namely
you no longer own your body. Your new owner is fedzilla. It can dictate EVERYTHING you do with it because your foolish independent and free choices will affect the government's income. You are now a slave working on the federal plantation.
This IS 1984.
namely you no longer own your body. You never did.
When was it legal to sell an organ?
Prostitution?
Ingest drugs for recreational purposes?
But your point is a valid one, now you cannot even be overweight, pudgy, plump...voluptuous?