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“Obesity,” declares Charlotte Cooper, author of 1998’s Fat and Proud: The Politics of Size, “is just a word used by people to medicalize fat.” Extra weight, once considered a genetic short straw, is increasingly characterized as a crisis threatening the physical, political, and moral health of our nation—even as large bodies are becoming increasingly visible in popular culture.

In this era of social conservatism, the so-called mommy wars, and renewed cultural clashes about gender, work, and “family values,” it’s hardly surprising that nanny narratives are making a comeback. Faster than you can say “supercalifragilisticexpialidocious,” nannies have popped up in movies (Uptown Girls) and bestselling novels (The Nanny Diaries, I Don’t Know How She Does It), as characters on tv shows (Friends, Kevin Hill, Desperate Housewives), and even as a subgenre of reality tv (Nanny 911, Supernanny).