When Health Becomes a Moral Measuring Stick
The wellness to personal responsibility to misinformation pipeline is alive and...well?
Over the past few weeks, I wrote two pieces on the negative impacts of health obsession. In the first piece, we unpacked how the relentless pursuit of health—through tracking, measuring, and optimizing—can lead to mental, emotional, and physical harm rather than well-being
In the second piece, we explored what it feels like to cross the blurry line and how to know when what once felt like a focus on wellness has actually started to make us unwell.
But as we reclaim health on our own terms, there’s a larger conversation at play—one that moves beyond individual healing and into the systems and politics that have shaped our very definition of health. Our challenges with food, movement, and self-worth don’t arise in isolation; they exist within a culture that equates health with morality, treating it as a marker of virtue rather than something influenced by privilege, access, and lived experience.
So today, I want to talk about how the personal responsibility myth around health doesn’t just impact how we treat ourselves—it also shapes how we see and judge others. When we tie morality, virtue, and worth to wellness, we create a slippery slope into policing other people’s bodies, choices, and even their humanity.
Wellness is becoming a weapon.
If you’ve ever been judged for what you eat, how you move, or the size of your body, you’ve already felt the impact of this moralization firsthand. But what happens when we internalize these judgments? What happens when we start seeing ourselves as morally superior for making “better” choices?
Wellness culture loves to frame health as a matter of virtue. We don’t just “eat vegetables,” we eat “clean.” We don’t just “exercise,” we “crush workouts.” We don’t just rest, we “optimize recovery.” Every choice becomes a sign of our commitment, our discipline, our goodness. And from that vantage point, it becomes easy to look at someone else’s choices—whether it’s what they eat, how they move, or what their body looks like—and assume we know something about their character.
This is where the personal becomes political; where wellness becomes weaponized against certain communities; where all-or-nothing thinking about nutrition takes precedent over the systemic health determinants that truly need our attention.
“Personal responsibility” is a slippery slope.
Diet and wellness culture thrive on individualism, pushing the narrative that health is entirely within our control. This messaging isn’t just misleading—it’s dangerous. Because if we believe that health is something we earn or achieve, then it follows that those who struggle with their health must have failed. If we believe there is a right way to approach health, then we believe there is a wrong way. And once that seed is planted, it doesn’t take long for harmful assumptions to grow:
That those in larger bodies must be “irresponsible” or “lazy”.
That illness is a sign of personal failure.
That anyone who is not able-bodied just isn’t trying hard enough.
That those struggling with chronic illness could “fix” themselves if they really wanted to.
That anyone who doesn’t prioritize their health in the way we do is making the “wrong” choices.
These beliefs don’t just sit quietly in the back of our minds. They inform policies, healthcare disparities, workplace discrimination, and the very structure of our society. But they are built on a lie: that health is something we can fully control. That if we eat the right foods, do the right exercises, take the right supplements, and maintain the right weight, we can protect ourselves from all harm.

The myth of control is deeply intertwined with oppression.
The wellness industry thrives on an unspoken elitism—where access to organic foods, expensive supplements, and cutting-edge health interventions is treated as a moral virtue rather than a reflection of privilege and systemic inequities. (I highly recommend subscribing to and reading the work of Shana Spence and Chrissy King for more on this).
When health is framed as a personal responsibility rather than a social and political issue, it becomes less about care and more about status; a way to judge not only ourselves but others. It ignores the reality that health is shaped by countless factors outside of our control—genetics, access to care, economic stability, trauma, oppression, and more. This is how the rhetoric of “getting healthy” becomes a smokescreen for discrimination—against fat people, disabled people, poor people, and anyone whose body doesn’t fit a narrow ideal.
With the rise of MAHA (Make America Healthy Again), we see how health is being weaponized to justify exclusion, deregulation, and systemic neglect—all under the guise of “personal responsibility.” And influencers are pushing this agenda too, spreading misinformation about food, medicine, and even basic nutrition. (Look no further than seed oils, raw milk, and vaccines.)
And yet, the diet and wellness industries keep promoting the illusion that “healthy living” is within your reach—if only you work harder, eat cleaner, and have more discipline. Why? Because when we believe health is a personal responsibility, the burden stays on us rather than on the systems that actually determine health outcomes.
Health is not a moral obligation.
The myth of total control doesn’t just harm individuals—it upholds policies that deny people access to care, stigmatize disability and chronic illness, and reinforce the dangerous lie that a person’s worth is tied to their body’s function and appearance.
Health is not a measure of virtue. It is not a requirement for dignity. It cannot be seen on a body or reduced to personal choices. No one owes the world a particular version of health.
Where do we go from here?
If we want to move away from the moralization of health, we have to be willing to unlearn some deeply ingrained beliefs. That starts with questioning the narratives we’ve absorbed—about food, about health, about bodies, about who “deserves” care and respect. It means shifting away from black-and-white thinking and embracing the messy, nuanced reality that health is complex, fluid, and deeply personal (because so too are bodies).
It also means recognizing when our own fears and anxieties around health are shaping the way we see and treat others. Are we judging people based on their appearance or abilities? Are we assuming we know their story based on what they eat or how they move? Are we letting wellness culture’s impossible standards dictate who is worthy of dignity and respect? And are we letting all of that distract us from providing inclusive, affirming care and focusing on the health policies that truly need our attention?
Stigma—whether related to food choices, body size, or health in general—is a significant risk factor for poor health outcomes. So if we truly care about population health, we need to focus on food access rather than shaming processed foods; on equitable medical care rather than weight loss prescriptions; on systemic change rather than individual “willpower;” and on removing structural barriers rather than placing blame on personal choices.
At the end of the day, the pursuit of health should never come at the cost of our humanity—ours or anyone else’s. True well-being isn’t about rigid rules or relentless optimization. It’s about connection, equity, care, and compassion. For ourselves, and for each other.
I’d love to hear your thoughts.
Have you noticed how the personal responsibility myth around health has influenced the way you see yourself or others? What has helped you break free from that mindset? And how are you seeing that shape the landscape of nutrition and wellness conversations right now?
I am speaking from the perspective of a 31 year old male. Former high level athlete who forced himself into that lifestyle. I have struggled with generalized anxiety and panic disorder since I was 16. I was exposed to body shame by 4th grade.
1. Yes. I’ve never accepted or really understood my natural body. I’ve been told I need to work harder and be rigid with my diet due to my genetics. All the language has always been about bio hacking my body in some way since I was an adolescent to make it look “lean and mean”. I also had a trainer tell me that food is just for fuel and me finding comfort in it is a bad “societal” habit. Furthermore, if I saw someone bigger, I’d just note in my head that they are “free” and don’t care about working out etc. I envied them. But I know this is not the case and it’s a bad stereotype. I am now back in a bigger body and I obsess about my workouts and nutrition 24/7. And I also assume that every lean ripped person must be doing it better than me. I look at every trainer as GOD. I also know that’s not true. They could easily be doing nothing but they have great genes. But nobody says shit to them about not working out or not eating clean etc.
2. This forum has helped me start to untangle the shackles. I also listen to the podcast when I move and I am in therapy. Also, I recommend a nice man named Aaron Flores who works with men specifically about this stuff. It’s nice to hear someone who looks like you relate to you. Abbie is my OG and first exposure into this world. That’s as far is I’ve gotten so far. I’m still tied up. I am eating intuitively ( or at least trying too) and moving privately for me. I have left organized gym classes and trainers. But I still question my actions daily and have this terrified thought of becoming huge by not restricting diet and forcing fitness.
3. Nutrition and wellness conversations are really scary in my area (NYC tri-state) right now especially with MAHA. You have one “qualified person” saying tracking macros is the only way and you need to HIIT 24/7. Raw milk is king, eliminate seed oils and processed foods, eating out is an emotional crutch, and “we don’t care how you look” as long as you do all these restricted actions we preach. And if you don’t, “well that’s why you’re not looking the way you want to look”. And “have you looked into supplementation- and oh you’re anxiety medication is probably hurting you more than helping”. But I’ve also encountered a medical professional that I THOUGHT was more left in their practice that used that as guise to tell me “ oh, you workout so hard. And eat so clean. You’re obese. It’s a disease. And you should take this GLP-1 so you don’t have to stress about being smaller. Yea… you may puke a little… but that never hurt anyone”. So I’ve kind of been left in the middle not knowing what to trust and being scared about what if my “gut feelings and inner child light” is wrong. I have anxiety so it’s super easy to doubt everything.
Abbie, I post a ton. It’s a way of journaling and you have great prompts. Please no pressure ever to respond. I hope being vulnerable will allow other humans to read my answers to the prompts and maybe they will feel seen and not alone. I want men to have a voice in this too. Because right now, I don’t have one male friend that knows how to relate or talk about this stuff out loud.
I just watched Apple Cider Vinegar on Netflix and I see a lot of what you're saying in that show. The influencers treat cancer as something that you, the individual, can control with the right juices and quasi-medical procedures. One character even says, "I should have known better," when she is first diagnosed with cancer, implying it's her fault or even that she may have deserved it.