Fatphobia in the Primary Care Setting: A Barrier to Quality Healthcare

Authored by Mandy Kryzsiak, MSS Candidate and The Understory Group Intern

For many people in larger bodies, visiting a doctor can be a stressful experience—not because of their health concerns, but because of the way they are treated. Fatphobia in the primary care setting is a widespread issue that affects patients' access to quality healthcare. Whether through dismissive attitudes, weight-centric diagnoses, or outright bias, fatphobia in medicine can lead to misdiagnosis, delayed treatment, and even avoidance of medical care altogether. 

What Does Fatphobia in Healthcare Look Like? 

Fatphobia in healthcare can take many forms, both subtle and overt. Some common examples include: 

•Blaming all health issues on weight- Many patients in larger bodies report being told to "just lose weight" regardless of their symptoms, leading to missed or delayed diagnoses for serious conditions. 

•Dismissing patient concerns- Some doctors assume that patients in larger bodies are less knowledgeable about their own health or lifestyle choices. 

•Inaccessible equipment- Many medical facilities lack appropriately sized blood pressure cuffs, gowns, or chairs, making the experience uncomfortable or even impossible for patients.

•Shaming language and attitudes- Comments about weight, assumptions about diet or exercise habits, and judgmental attitudes create an environment where patients feel unwelcome or judged. 

The Consequences of Medical Fatphobia 

The impact of weight stigma in healthcare is profound. Research shows that fatphobia leads to: 

•Worse health outcomes- Patients who experience weight discrimination are less likely to receive appropriate screenings and care, increasing their risk of conditions like cancer, diabetes, and heart disease. 

•Doctor avoidance- Many people in larger bodies delay or avoid seeking medical care due to past negative experiences, leading to untreated illnesses. 

•Mental health struggles- Experiencing fatphobia in healthcare settings can contribute to anxiety, depression, and eating disorders. 

A Shift Toward Weight-Inclusive Care 

To combat fatphobia in healthcare, we need systemic change. That includes: 

-Adopting a Health at Every Size® (HAES®) approach – This framework prioritizes health behaviors over weight loss, focusing on well-being rather than body size. 

- Improving medical training – Medical schools should educate future doctors on weight bias and how to provide compassionate, evidence-based care for patients of all sizes. 

- Creating inclusive environments – Clinics and hospitals should ensure they have accessible equipment and spaces that accommodate diverse body sizes. 

- Listening to patients – Every patient deserves to have their symptoms taken seriously, without weight being the automatic focus. 

Advocating for Change 

If you've experienced fatphobia in the medical system, you're not alone. Advocating for yourself—asking for weight-neutral care, requesting accommodations, or even switching providers—can help ensure you receive respectful treatment. Additionally, supporting healthcare providers who practice weight-inclusive care can contribute to broader systemic change. 

No one should have to fear going to the doctor. By addressing fatphobia in healthcare, we can move toward a system that prioritizes health, dignity, and respect for all patients—regardless of size.