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Your ontology doesn't make sense to me. Selfishness isn't a one dimensional thing. Its more like a lack of Learned Selflessness and higher order planning and self trust. You say "selfishness adequately describes" as though that's an etiology that implies anything useful about treatment. But where is your treatment plan?
I agree that if you flatten everything to 'humans follow incentives', then you can call it all selfishness. But this isn't actionable on a personal level.
Obesity is an incentive gradient and learnability issue. In most cases it's not that they would rather "eat themselves into oblivion instead of finding a healthy balance and self restraint" It's that they can't alieve in the existence of the healthier state space and/or they are strategically unable to allocate the resources necessary to climb out of the rut that we have built for them with easy-packaged unhealthy foods. They are physically unable to trust themselves enough to overwrite the local incentive gradient built into their minds, and the incentive gradient in their environments is untrustworthy. Shaming only serves to tell them that they are on their own with this, which doesn't help and causes them to double down until they develop a complex about how 'obesity is good actually'.
If you want someone to lose weight- Don't shame them. Teach them how to cook. Smooth out their schedule so they have more time and mental energy. Analyze their life and remove mild inconveniences and stressors.
I volunteer all my labor to community projects and startups and rehabilitation of atomized individuals- because I don't trust corporations or our government with the produce of my labor. If I'm wrong- this is a trust problem. If I'm right, this is a trustworthiness problem.
If you want more NEETs to work, address their needs one by one and get them back up to a functioning level, practice some selflessness yourself and cultivate some burnouts.
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