"no one should be responsible for the decisions that individual makes except for that individual."

wonderful principle, really a total fantasy. Even materialistic, militaristic, secular America has a little bit of Christian morality to "care for the sick", is why public, taxpayer-financed hospitals cannot turn away anybody.

And of course even private insurance plans spread the cost of paying for high-cost clients with self-inflicted disease to clients who make little or no claims.

Magic Negro has talked about prevention, but he hasn't really pushed it, and of course the Repugs would never go along with such a sane idea.

We know reducing the national health costs will never come from the health care system lowering their bills(revenues), so really the only way to reduce costs is to reduce preventable, self-inflicted chronic disease, but America is too dumb and irresponsible for that.