Incentives are everything.
We live in a society that pushes “quick fixes” and pills over lifestyle change. We push the artificial over the natural. We now have the hubris to celebrate poor health management and disease, like obesity, as if the people who have made that progression should be accommodated or are “heroes.”
When the incentives make it easy, or even advantageous, to make poor choices — many in society will choose the path of least resistance. It’s definitely the darker side of human nature, but sadly, the fiat system has found a way to tap into that.