This reminds me of a phrase in a show I watched, "Healthy is beautiful". It isn't really about being fat or skinny, it's about being healthy. There are some people that have sickness or problems that make them fat or skinny, but at the end of it, as long as they are healthy overall, that's what's important.
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On average, being a bit too skinny is healthier than being a bit too fat. Something to do with body function. But, I don't like the idea of making anything that is unhealthy, healthy just because people want it to be - that is not how it works. If there was a profile of what decently healthy is, most of us are not it.