She could actually work to create situations where the poor could have gym memberships at low or no cost- people like her and Madonna could actually open chains of free gyms. They aren't evil for becoming thin through unusually large amounts of exercise, but they are responsible, at least indirectly, for perpetuating the inadequacy others feel because they can't afford or don't have the time to exercise as they do, or the disposable income or produce availability near them to consume healthy foods on a regular basis.