While there may be an impact. There are MUCH MUCH larger problems with US healthcare than fat people. If anything blaming fat people just gives the system a scapegoat.
Insurance companies scamming people out of support while their profits skyrocket year after year
Insurance being tied to jobs, but only some jobs that aren't tailored around denying worker support
Insane hospital markups, price gouging
Pharmaceutical companies, also with obscene profits, squeezing as much as they can out of vulnerable people.
Lack of Government assistance or intervention against those issues, expansion of medicaid in a lot of areas, or a public option. Anything resembling what other industrialized countries have.