"Well you need to exercise more and eat more vegetables" is true, but it's only practicable advice if people have access to exercise facilities and healthy food, and the time to make use of them. Otherwise you may as well be blaming fire victims for not being incombustible.

“You need to x” is still the (apparently flawed?) personal responsibility model.

Replace “you” with “we will do x to you whether you like it or not” and now we’re talking