If the "disease" is caused by poverty or an addiction, how can you expect the medical profession to decide who lives or dies depending on where & how they live? Addiction is an illness. Yes, drugs, alcohol and smoking have long-term health implications. If it was easy to give up - nobody would do it, but it isn't.
Similarly, how can you punish someone who suffers from obesity? This may also be a form of addiction, for whatever reason. Or, perhaps it is due to a lack of education or financial difficulties. If you are hungry, a fast-food meal will probably fill you up better than "a nice healthy salad." if you have limited funds, you will probably opt for whatever keeps you feeling full the longest - this then becomes a regular diet and by the time the consequences are showing, this has become a pattern of behaviour that is difficult to break. It's not like these people have become addicts or obese deliberately and as such, it seems unfair to penalise them for their addictions.

Added: Sept. 1, 2018, 9:39 a.m. Last change: Sept. 1, 2018, 9:39 a.m.
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