One reason why I want McDonalds to have healthy food is because when I am traveling there is a McDonalds at nearly every exit, but the next restaurant with healthy-ish options may be 40 minutes away.
When travelling across continent(Europe in this case) I am always 100% certain that McDonalds will have fresh food and that the staff speaks English. When you're spending 12 hours a day in a car you don't want to get food poisoning from random roadside restaurant or risk spending an hour waiting for your food or not being able to understand the menu. A BigMac is a BigMac everywhere. If they have a health-ish option, I will take that.