I highly recommend this book (there are two links) about the underclass and a family who was part of it; the family happens to be black but so is the author. "Underclass" in this case is defined as whole families where nobody has ever had a job (or at least not long-term), nobody graduated from...
Maternal malnutrition is also a factor, and people who are addicted to a point where they're going to use while they're pregnant are probably not going to "eat right" either.
This is what WIC was founded for - to improve kids' nutrition and overall school and life performance.
If they were 50 or so pounds overweight, not quite morbidly obese, then their excuse MIIIIIIGHT be true.
It would take more than 7,000 calories a day just to maintain weights like that, and you can feed KIDS healthily as well.
I just remembered getting in trouble on another website when a poster said that she weighed over 300 pounds, and her husband 400, and their excuse was that they couldn't afford to eat healthy. I replied, "If you can afford that many calories, you can afford to eat healthy."
(well, it's true)
I started this gnarly thread a few months ago. Read it at your own risk.
https://kiwifarms.net/threads/aspiration-therapy-for-weight-loss-another-method-of-purging-tbh.88565/
I did clinicals on an Indian reservation, and FAS was common enough that it was part of a standard newborn checklist. I've never seen anything like that anywhere else; if a baby is suspected of having it, it's charted separately.
I've always heard that Aetna is THE WORST when it comes to paying health insurance claims. However, in this case, I can understand why they're asking questions.
That "deathfat mama" sounds like she was on long-term prednisone therapy. People who are often look something like this.
https://www.mayoclinic.org/diseases-conditions/cushing-syndrome/symptoms-causes/syc-20351310
Cushing's disease is rarely seen in this country nowadays, but this is the best...