There’s a lot to take issue with in your post that doesn’t mean people prefer fake things.

Assuming people hate reality because of these arbitrary dichotomies that aren’t actually black and white.

Spending time online can mean making real, personal connections. Why is that less valuable than spending time outside? Are people who have allergies or heat intolerance or live in a big city somehow lesser because they can’t spend as much time in nature?

Many people don’t get plastic surgery or any of the things you listed. Plus a lot of people who claim they hate makeup and prefer “natural beauty” actually just like natural-looking makeup and prefer that to people who truly don’t wear any.

Organic is more expensive and less accessible than not-organic; often it’s not a choice. Plus like another commenter said, it’s not like GMO means fake. We’ve been genetically modifying plants for millennia through selective breeding; we’ve just sped up how it’s done.

Ozempic is an easier way to weight loss and yeah, some people take it as a lazy way out I’m sure. But also a lot of people who are overweight aren’t just that way because they’re lazy, but because there’s an underlying issue. Mental health issues like depression or addiction; physical health issues that cause weight gain like hypothyroidism or issues that make exercise difficult (and yes, weight can add to these problems, but a lot of time it’s a both/and situation); socioeconomic problems that make healthy food inaccessible due to time or cost limitations or living in a food desert. There are many reasons people are overweight beyond simply choosing not to exercise. (And I shouldn’t have to do this but just to head off any judgment you want to throw at me: my BMI is currently 18.1, putting me in the “underweight” category. I have never been overweight, I just have empathy for people who live different lives than me.)

You’re making a lot of false dichotomies and everything you’ve said is rooted in judgments of people. I suspect that’s where the downvotes are coming from, but I also suspect you’ll find issue in what I’m saying and dismiss me for it rather than checking in with your own biases and judgments.