It's understandable that super morbidly obese people can be gross and unattractive.

Personally I believe that food addiction is what causes these people to become so large. Just like with drug addiction, alcoholism, and even sex addiction, there's the phases of denial and even a blindness to what's deteriorating around them. Sure we could easily say, "Hell if I saw my *** getting that large, I would notice". I don't think these people were aware of what was happening to them because of denial.

Also to compare food addiction to drug addiction, I think these people receive some sort of "high", a comfort that soothes them physically and emotionally, just like a baby with a binky I suppose.

I do feel as much pity for these supers, as I do for junkies and drunks. I know they're feeling some sort of pain and they suppress that by consuming themselves to death, it's even been compared to a slow suicide because most of these people do not want to live.