Calling someone fat is not only cruel and unkind—it also subordinates them. While the sharpest and most immediate harms of fatphobic bullying are emotional and psychological, these vary according to the resilience of the target. What one person can laugh off, another feels deeply, perhaps for years. But ‘fat-calling’ does not only have individual harms—it also perpetuates a subordinating social structure ranking fat people as inferior. Despite recent work on obesity and fatphobia, the conversational dynamics of ascribing fatness to (...) someone else (rather than oneself) are relatively unexplored, especially in philosophy. This paper argues that fat-calling assigns its target a subordinate discourse role, constraining their subsequent conversational behaviour and permitting further discriminatory behaviour from interlocutors. And these conversational norm-changes alter the initial permissibility conditions of future conversations to the detriment of fat people. This is not to say that fat-calling is morally equivalent to slurs and hate speech—but it does show that it leverages similar conversational mechanisms to entrench injustice. (shrink)

We respond to a Letter to the Editor regarding "Principlism and contemporary ethical considerations for providers of transgender health care." We address criticisms by Castle & Klein (2024) of blatant fatphobia related to the ethical elements concerning BMI restrictions for gender-affirming surgery. Our response corrects several mischaracterizations of the article and clarifies our position. My co-authors and I remain focused on advocating for patient-centered, ethically sound, evidence-based, and equitable healthcare policies.