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I think what Beowulf meant by "helpless" was that the girl's condition wasn't the result of anything the mother did wrong but in a medical condition that couldn't be resolved.I AM implying that people whom are helpless should not do something as stupid as have a child. There is no implication that these "fat" kids have a biological disorder but a possibility. Parents who do have a child with any disorder should seek professional help. And NO professional will allow a child to get obsess under his/her care....
You can't know for sure why a kid you pass on the street looks fat. Is that round look from overeating or is it from anti-rejection drugs for an organ transplant? Maybe that kid looks obese but a few months ago was morbidly obese and is now on weight loss program and making good progress.
You don't know the story behind each one's situation.