Yep - I have several family members that work in primary care - many patients have filed formal complaints with the practice if the provider calls attention to the fact that someone is obese or is making unhealthy lifestyle choices and should make changes if they want to be healthier - one even threatening to sue if the office didn't take references to her chart that said she was clinically obese - so more and more providers are simply not broaching the subject and instead writing the prescription for whatever the pill-de-jour is.