> Marathon running is quite hard on joints, with an increased incidence of osteoarthritis. Most marathon runners are terrible athletes who have terrible traini

> Marathon running is quite hard on joints, with an increased incidence of osteoarthritis. Most marathon runners are terrible athletes who have terrible training goals and usually stop running due to self-inflicted soft tissue injury. This isn't expensive to treat since normally it's only rest is required to heal from ITB-syndrome or even shin splints. So they're rarely able to turn it into a lifestyle. Those who are able to continue probably are at a higher risk of osteoarthritis. I still stand by these people just cost less to provide healthcare for in old age (and I don't think there's selection bias at play here). > Pre-ACA, some folks found themselves shoved off into "high risk pools", which often made them functionally unable to access healthcare. Like I completely agree with this, that it solves this problem. I was more so trying to raise the moral point about socialised healthcare (and I mean socialised in that loose sense) demanding a sacrifice from those who do take care of themselves. People are willing to suspend notions of natural inequalities to a point because most people still feel they live in a society. But there is a limit to this where people feel their burden is so disproportionate that they seek to emancipate themselves from it. The bonds of society are only so strong.