> - Someone who drank so much and annihilated their liver, requiring significant & expensive surgery That’s called an addiction. It’s a disease. And that shoul

> - Someone who drank so much and annihilated their liver, requiring significant & expensive surgery That’s called an addiction. It’s a disease. And that should (and can) be fixed by a doctor. > - Someone who couldn't stop eating at McDonald's and hasn't touched a vegetable in a decade now wants lifetime insulin and kidney transplant Same thing + metabolism issues, aggravated by voluntarily aggressive marketing. Can and should be fixed by a doctor. > - A hypochondriac who wants to see their doctor for every scratch, off-color skin mark, etc. Psychiatric issue with real psychiatric or physical pain : can and should be fixed by a doctor. > - Someone voluntarily jumping off planes, doing dangerous sports, etc. without insurance, and expecting someone else will foot the bill Just make insurance mandatory for extreme sports like in most countries. > - Someone who wants every and any blood test because they coughed once Same as above. Hypochondriasis is totally documented as a real suffering and psychiatric issue. All your examples are situations that can be prevented with preemptive medicine which is the norm in countries where you can see a doctor long before being sick. I’m not saying it’s easy or perfect, but it’s easier for doctors to prevent diabetes if they can follow patients regularly and check their vitals than if they only see them once a year or less because they can’t afford it.