> Because our tax dollars pay for Medicare/Medicaid, so for those people who don't have private insurance, they're saddling society with the costs of their choi

> Because our tax dollars pay for Medicare/Medicaid, so for those people who don't have private insurance, they're saddling society with the costs of their choices. This may sound pedantic, but I think it's an important distinction: Society has saddled society with the costs of their choices. It's not the self-destructive choice maker's fault. If a child in public school willfully refuses to practice cursive, they may require additional instruction and resources. I wouldn't say that child is "saddling society with the costs of their choices". They're just living the life they were born to, and society is obsessing over them.