This can't be a big deal. American technology has always gotten around the practice of fundamental virtues, like moderation:
It's just one of those wicked telling signs, one of those sad little cultural punches that make you cringe and sigh even as you stifle a laugh and roll your eyes at the state of it all, as you read the one about how an increasing percentage of people -- mostly women but half of the men, too -- aren't receiving their proper dosage of medicine when given a shot in the rear by a nurse at the hospital because, well, their butts are just too damn big.
Which is to say, the needles are now too damn short. Too short to reach what remains of the gluteus in most increasingly obese butt-exploded people in America, and hence hospitals are now having to use longer and longer needles to penetrate all the fatty acreage in the average American rear and deliver the meds these people so desperately need to, you know, help lower their cholesterol and treat their diabetes and try to prevent the imminent heart disease that's coming upon them like a steam engine due to all the, uh, obesity.
Link.