I noted this mentally only a few hours ago. I commented on HN, using as a metaphor "Universal health care provided by the State: [you cannot abuse it, as a common good - ] if you drink soda, you lose entitlement for your diabetes to be treated at the same cost". Then I added, "stretched example". Then, thinking it more properly, it is not that stretched...

Those under the FDA do not have that social constraint (free healthcare), to others it is a reality (with responsibilities etc.). And in a way, like in the context of insurance, different personal histories are relevant. Job related health consequences? Unforeseeable consequences? Jamesdean consequences? Not the same.