Absolutely, that's why I said self-medication. I'm certainly guilty of that, as well as self-indulgence.
I do agree that fat-shaming does not help. It only makes someone feel worse about themselves. I've gone up and down the scale for most of my life, and whenever someone pointed out that I had gained weight, it only made me feel embarassed and ashamed. It's not like I said, "Oh wow, thanks, diet starts now!" It's not like people don't know they're fat.
But I do think being very overweight has gained a measure of acceptance, or at least indifference, by the public and maybe we should be more cognizant of the fact that there is nothing good or healthy about being obese. Even doctors don't push for weight loss and exercise like they did back in the day.