In addition to being a fine actor, James Gandolfini was smart and rich. He could afford the best medical care the West has to offer and understand the stakes of being so overweight and stressed. Yet he let his weight balloon in an orgy of careless eating and drinking. Did he think himself invincible or assume that he had time to deal with health issues later, his age being only 51? Surely a doctor somewhere read him the riot act, so why didn't he make health a priority?