This is an interesting topic, one I’ve examined from many perspectives. First off, I don’t think all these ‘efforts’ have helped, truly, to make bigger people feel better. Secondly, if any of this did work, I don’t think that’s what’s contributing to America getting fatter as there are plenty of other big contributors. On the other hand there is a very small fat acceptance movement (this is not a mainstream movement, whatsoever) and I’ve read some critique of it – basically that, as you say, by focusing so ardently on fat acceptance, we can’t realistically address that for some (big emphasis on some) a lot of body fat will lead to disease… I never think shaming works so no, we shouldn’t bring it back…as I said, thought, it never went away…snide remarks, rudeness, etc. against those bodies deemed ‘abnormal’ are still all the rage…and these have a whole hell of a lot less to do with people really caring for people’s health and a lot more to do with being just plain offensive