The point is, the one person in the photo who is "bigger" is the one pushing everyone else to eat "healthy". Looks like a few to many trips to McDonalds to me. Age of the photo and that it is photoshopped are just strawman arguments. Unless they photoshopped the size of her rear of course.
Perhaps the other countries' social agendas are determined by the fact they don't have an obesity epidemic like the US does?
You all really have a problem with a person promoting healthy eating?