I disagree. Rephrasing the tradeoff a little, Westerners are not willing to accept bad outcomes as a matter of course. It is probably objectively fair for individuals to stop wearing seatbelts or to "responsibly" pursue a meth habit, but those things are still illegal.

The "fair" rules would probably be to let people do stupid things and accept their own consequences, but Western culture is not willing to let houses burn down because people didn't buy into the local fire department co-op.