interesting midrash. I wonder though about the cases where obesity actually leads to bad health problems, heart attacks, etc. In those instances, it would seem to me that a person does have bechirah. Ironically, sometimes weight is a choice, in the literal sense of “uvacharta bachaim.” Dying prematurely because of poor eating/exercise choices is due to a person’s own choice *not* to live a healthy life (something that rambam in hilchos deios says is really really important). So since weight affects life expectancy, it does fall under the category of kol maasecha l’sheim shomayim, since hashem expects us to make choices to maximize life.
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