In contemporary society, discussions surrounding “health” are prevalent, often revolving around the latest diets, exercise routines, and the concept of “clean” eating. This focus can inadvertently lead to a moral judgment attached to food and lifestyle choices, creating a breeding ground for shaming individuals who do not conform to these standards. It is within this context that a poignant poem by artist Lila Thompson, titled “The Weight of Expectations,” has gained traction, resonating with many individuals and prompting important conversations.
A Familiar Scenario
In her performance, Thompson presents a familiar scenario: “A patient walks into a physician’s office and says, ‘It hurts when I move my arm like this. What should I do?’ The doctor responds, ‘Then refrain from moving your arm like that.’” She contrasts this with a “plus-size woman” entering the same office, saying, “Doctor, it hurts when I move my arm like this,” only to be met with the suggestion, “Have you thought about weight loss surgery?”
The Unsolicited Advice
Thompson’s poem explores the various reasons a “plus-size woman” might seek medical advice—whether for a flu shot, an ear infection, or an insect bite—yet each time she is met with unsolicited advice regarding her weight and BMI. These seemingly innocuous comments, while often brushed off as concern, can be deeply hurtful to those who experience them, especially since thinner individuals typically avoid such scrutiny when presenting unrelated health issues.
She further illustrates the disparity, stating, “A plus-size woman walks into a clinic asking about depression medications but is instead told to exercise.” This reflects a broader issue where mental health conditions are often simplistically blamed on body size, disregarding the complex interplay of mental and physical health. As someone who has struggled with emotional eating, I can attest that my weight can fluctuate as a result of mental health challenges, not the other way around.
The Role of Society
Thompson also critiques the so-called “sidewalk doctors”—friends, family, and social media commentators—who feel entitled to weigh in on the health choices of others. This societal tendency to conflate health with thinness can lead to harmful consequences, perpetuating the stigma against those who are larger. She asserts, “I do not owe you a smaller body, nor do I owe you the pursuit of thinness.”
The subjective nature of health is often overlooked; instead of promoting a well-rounded understanding of nutrition, society fixates on the scale. Many thin individuals obsess over their weight, equating it with self-worth. Witnessing this preoccupation can be damaging, and if this is the standard for “health,” then it’s time to reevaluate our definitions.
A Powerful Conclusion
In her conclusion, Thompson delivers a powerful message: “I am worthy of care and entitled to exist as I am, deserving of respect and dignity.” This encapsulates the essence of her poem, which serves as a reminder that everyone, regardless of size, should not have to justify their existence to anyone.
Further Insights
For further insights into the complexities of body image and health, consider checking out resources like Progyny Blog. For those looking into family planning, our article on boosting fertility supplements at Boosting Fertility Supplements could be beneficial. Also, if you’re interested in home insemination options, exploring At-Home Insemination Kit can provide valuable information.
In Summary
In summary, Lila Thompson’s poem “The Weight of Expectations” challenges societal norms and emphasizes that individuals—regardless of their body size—do not owe anyone an explanation for their existence or their health choices. It encourages a compassionate perspective towards diverse bodies and the understanding that health is deeply personal.

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