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Let's refine that to those who abuse their bodies in a way that may affect their job performance. Similar to the alcoholic having a driving job, I often wonder why you see so many fat security guards. I'd rather them be paid to work out under supervision several hours a week than be so fat they couldn't catch a criminal/troublemaker.
I'll repeat - the ADA has safety exceptions that allow employers to re-assign workers into jobs where they dont endanger the public. In this specific case, the ADS allows the employer to re-assign the driver into a position that does not require driving.