Ever hear of food deserts?

Not saying it's the main cause but it's similar enough to the primary issue.

A fair portion of people that are unhealthy/obese are low income, and buy processed foods since they're the cheapest, or most caloric dense, it's a struggle to eat healthy when they infrastructure surrounding you makes it more difficult.

Also many other variables like stress, and impulsiveness, etc.

That being said I do realize it's about choices too but that becomes a hurdle when better choices aren't given to you.

(And yeah I know request the brand in the store, or buy it online, etc. , I'm just offering a different perspective)

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I don't think they're a very many places that don't have beef and chicken in their grocery stores

Some regions in The United States, don't even have grocery stores.

That being said affordable, and healthy meat is rare to find, most places either have subpar meats that are more affordable, or expensive high quality meat.

I really don't think low quality meat is unhealthy. Just not as tasty. Dollar general has canned vegetables and meat.