No, its people being overweight AND ignorant that this meme is pointing out. People who are in total denial that losing weight will alleviate many health issues and prevent further complications to ones that can't actually be helped.

Stop crying over a simple sponge bob meme. This is your life and your health. Do something about it instead of coming up with silly words like fatphobia to make yourself feel better.

Do you live under a rock... Because you're in denial, just like so many who are denying they're morbidly obese. And despite warnings of health problems and risks... The obesity problem keeps rising. https://en.wikipedia.org/wiki/Obesity_in_the_United_States#%3A%7E%3Atext%3DThe_obesity_rate_has_steadily%2C17%25_of_children_were_obese.?wprov=sfla1

I'm not saying insulting is the right approach. But clearly this pro-obese movement people have been pushing is just as wrong.