Intention has everything to do with it. Out of one side of your mouth you're compassionate for those poor people who can't eat properly but out of the other you justify your righteous dudgeon with the splinter faction that can't walk a mile and feels okay with it. Yeah, you're allowed to feel strongly about it but don't for a minute think that the one's your compassionate for don't see themselves as Tess Holliday in your eyes.
As for acceptance, France had to pass a law to stop models from dropping dead. Here's Victoire Dauxerre. She was discovered at 123lb but wasn't allowed to walk the runway until she hit 103.
Here's Isabelle Caro. She was under 100lb in this picture (at Milan fashion week). She died under 60.
Meanwhile, you know what TLC's top ratings earner is?