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We don't have all the information.
It is a doctor's job to alert his/her patients to any health problems they may be facing. If a patient is obese, the doctor needs to say something.
But the doctor also needs to be careful about how to tell a patient that s/he is overweight and should do something about it. This requires sensitivity to the patient and knowledge of his/her situation.
In this case, it sounds like the doctor had been seeing this patient for some time and had spoken with her about her weight before, and she hadn't done anything about it, so maybe a kick in the @$$ was warranted. At the same time, he could have given her a more tactful kick in the @$$ (does that make sense?).
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