This document discusses fast food and whether it is healthy or unhealthy. It notes that Americans spend a lot of money on fast food and eat out frequently. While fast food portions have increased significantly over the past 20 years, containing hundreds more calories, Americans are not burning enough extra calories to balance this. As a result, many are gaining weight, putting them at risk for health issues like diabetes, heart disease, and some cancers. The document provides tips for making healthier fast food choices by selecting smaller portions and options with less fat and calories.