Walking is such a problem in most American communities. In my home town, if I took the route now that I used to walk alone as a first grader, I would get run over, and the driver would not even wonder what that bump was.
Last time, years ago, I had a four day trip to NYCity, and I lost five pounds despite all the eating out. I walked blocks and blocks, and stood in the subway then walked more. I was fatter than most in the city at only 30 pounds overweight. They didn't even carry size 12 in the boutique I stopped in. The fattest people I saw were the British tourists in Macy's!
That brings me to the cultural differences. NYCity is one of, if not the, skinniest places in the U.S. The fashion industry there creates a real incentive, there's big health and fitness movements there, people are more aware, and there are lots of skinny recent immigrants and visitors from skinny countries. The town I live in Maine is, to watch people on the street, fatter than the richer, snobbier town to the south. Places I go to work, you can see differences. Don't get me started about the country fairs!
Fat acceptance is a real problem, I think. Tolerance for being overweight seems part of the self-esteem boosting we have in the schools and parenting. And who can blame them, it's so hard to lose on calories in calories out! All those young girls showing off their muffin tops in low cut pants, and the boys hiding their pasty guts in loose oversized clothing. Once they are overweight in their youth, it is so hard to take the pounds off and keep from sliding down the slippery slope to obesity. CW has no solution for these young people, as so many of us know. It takes so much effort and reading and exploring to even discover primal or paleo.
Baxter State Park
55 years old, 5'4"
1/1/11 weight: 172 and grumpy
Lost 7 lbs on calories in, calories out
Went paleo/primal 1/1/12
Current weight: 144 and happy
Goal weight is 130 more or less