the bottom line is that bushie is happy being a fat, even though it has already negatively affected his quality of life at a young age. in his part of america, being fat is the norm.
i dont think he totally gets the concept that his obesity will continue to affect his quality of life. i dont think he understands that he will die at a young age if this keeps up.
Not to put too fine a point on it, but a friend of mine who's been fat since childhood - and probably fatter than he seemed at first glance, being also 6'3'' and wide-shouldered - suddenly died on monday, indirectly caused by obesity. He was 41.