While I agree with you whole-heartedly on the subject of obesity being more complex and lean towards addiction as well. I have posted on this else where. I cannot agree with you on the acceptance of trainers playing out of their scope of practice all the time. It’s not right! It shouldn’t happen! It’s part of the problem! All it does is confuse EVERYONE, especially the clients! I don’t have only apparently healthy individuals as clients but I am an HFS who is qualified to deal with special populations and clients with medically controlled disease… along side doctors. I interact with doctors when it comes to my diseased clients. We send notes back and forth in many cases. I have to say it…if making obesity a disease holds trainers accountable more and helps build relationships between doctors, psychologists, nutritionists and qualified trainers and garners results that stop the rise in obesity rates…then I am happy about it.