There is no way he could not get access to healthy food what kind of stupid is this guy? Even if you are eating a fancy restaurants all the time you don't have to shovel a ton of food down your gullet.
The fact he didn't realize that the country was big, didn't anyone tell him? Did he go to school?
I don't think he's judging Americans for being fat, he's just pointing out that there's a lot of food deserts here that limit people's access to healthy foods, which is true.
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A food desert is a geographic area where affordable and nutritious food is difficult to obtain, particularly for those without access to an automobile.