That had to have been so frustrating! Having said that, I work for the informatics department at the VA and while they get a lot of slack, they are held to a higher standard than the private sector. And that is exactly where that BMI question came from. All VAs nationally have a performance metric where they have to offer the MOVE! program to Veterans with a BMI greater than 25. In a lot of cases, it is an appropriate screening question, but in a lot of cases (yours) it absolutely is not. Unfortunately VA Central Office does not allow facilities to cherry pick from that "patients with BMI>25" population. And I can assure you that the nurse asking you the question would not have done so if it did not require her to do it, because we can all agree that, clinically, you are no longer a candidate! So give her a break and smile and politely decline. I'm sure she was uncomfortable asking you the question and was aware of the irony in the situation. I know I would have been!