How much of the obesity epidemic can we attribute to personal decision-making?

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Close to 0%. Pretty much the entire obesity epidemic can be blamed on the capture of our food supply by money grubbing capitalists hellbent on selling their junk food by any means necessary. That, combined with the decline in the kind of free time that would allow more Americans to hit the gym or take the time to analyze what it is they're putting into their bodies (made harder by an education system that's been left for dead) (thanks, capitalism!) can also be pretty well blamed on the money-grubbing parasites at the top.

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I don't get why America is so different?  In Britain they have McDonald's and in many countries that's the cheapest food I can find.  But most other countries don't seem to be having these problems.

Could have something to do with the fact that pretty much every other industrialized democracy on earth guarantees medical care for its people.

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100%.

Yeah, it's got nothing to do with companies beefing up portion sizes, spending more money on advertising (especially advertising aimed at children), pushing their crap into schools, the lack of wages high enough to pay for healthy food, etc.

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ITT assholes