While the boys are at Wall-Mart, they encounter several overly obese individuals on mobility scooters. After a quip from Kyle, Cartman quickly realized that his habits would eventually force him to use a scooter. After being inspired, Eric Cartman used his medical insurance to purchase a mobility scooter for himself. During the First Lady's Symposium on Obesity, Cartman, his mobility scooter, and the Tip-Assist device can be seen 'sketti-wrestling' with Alana Thompson. The results of the contest are inconclusive, as James Cameron raised the bar, causing Michelle Obama to call off the event.