Which counties stand out the most?
The extremes are rarely the places you'd guess. Tourist-heavy small counties rack up the highest McDonald's-per-resident numbers because stores serve commuters, not just locals. Meanwhile, the highest-obesity counties cluster in the rural Deep South — often in places with fewer chain restaurants, not more.
Where density and obesity diverge
A meaningful fraction of counties are "mismatches": high obesity with below-median McDonald's density, or vice versa. These outliers are the clearest reason to resist simple causal stories. A restaurant chain is a visible variable, but visible is not the same as causal.
Why correlation is not causation
McDonald's density correlates with urbanization, highway access, tourism, commuter flows, and income. Obesity correlates with income, activity, access to healthy food, and cultural patterns. When two variables share upstream drivers, a positive correlation between them is expected — and explains very little on its own.