Weirdly enough, fat women really already understand how their concerns look to people with higher status. Why did you think it was important to underline this?

Because I don't think they do understand. They don't give a damn about the people one rung lower on the social ladder, and they're surprised when the people on the rung above do the same? The answer's staring them in the face! (or mind, as the case may be)

You could solve your problems with money-- and no risk to your health-- by getting custom made shoes.

And fat women could just buy custom made clothing. That's not addressing the point, is it?