A widespread lack of individual agency and self-determination is both a cultural problem and should be viewed as a call to action.
The question of why this is the case and what we can do about it is the interesting part.
People do have personal problems. Ignoring that is like blinding one eye before assessing the situation
That was practically the consensus social position forty years ago.
We didn't have an obesity crisis. Now we have an obesity crisis. Did the human race just become less responsible? Or are they enduring a new, situational, societal-level problem that affects many people collectively based on the socioeconomic & cultural conditions they were born into? Conditions that didn't exist 20,000 or 1,000 or even 60 years ago.
This is a longstanding conservative trope that excuses us from dealing with any and all social problems because we don't owe anything to each other. It is a declaration of social atomization.
It is a disinvitation to solutions, and the rest follows naturally from that. I think a lot of people are using this as a thought-terminating cliche without actually considering how hostile the stance is.