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stof said:
There are lots of places to draw the line and many different feasible plans, such as specific seats for larger individuals, or, as some in the airline industry has suggested, charging people over a certain weight for two tickets, but refunding that money(all or partial) if the flight doesn't sell out.

And like any other medical condition that effects the providing of service(and isn't immediiately visible) , you can provide a doctor's note.

That's actually a very reasonable idea I like it

yes sometimes it can be a medical problem, but 90% of the time it is just their lifestyle and if they choose to be like that then yes they should pay