I stopped smoking for months or years many times and I never ever had any side effect except maybe I'm a bit tired the first days. I don't even put up extra weight or anything like that. I feel like an adult baby being treated like I need financial punishment to help me be a healthy person.
Really? Where do you live? Because I'm not aware of any country that does this (other than with sin taxes on tobacco).
Also except executives no one is above 60, which is where one would argue that if you are a smoker you may actually needing to tap heavy into health insurance money for smoking related conditions. There's even research that if you quit before 40 your smoking related cancer risks go down 90% https://www.healio.com/news/hematology-oncology/20211228/qui...
Of course I can drink a bottle of wine per day, not exercise, eat processed meat and not consume a gram of fiber and I don't have to pay extra health insurance. It doesn't make any sense.
By federal law, you cannot be charged more for smoking a cigarette every four months. You can be charged more for smoking with more regularity. There is a binary cutoff, but the level isn't zero (feds have a minimum level, but states can impose higher ones.). You may want to consult a lawyer if this is something that is really happening and concerns you. Plus, you certainly should consult a lawyer before you change your answer on a the form, in case you are in a grandfathered plan or some other special case.
https://www.kff.org/faqs/faqs-health-insurance-marketplace-a...
https://www.kff.org/faqs/faqs-health-insurance-marketplace-a...
Now, it is binary. But US federal law puts "an afterdinner cigarette once every four months" very much in the "nonsmoker" category.
Which is the tobacco equivalent of classifying someone as a heavy drinker because they're using red wine as a trace ingredient in cooking several times a week, and considering that the same as consuming 4 vodka bottles over a span of 4 evenings every week.
Or, to bring this back to the example that started this thread, and which you seem to be thoroughly missing, to regulate numbers of radiation exposures per week. Without taking into account whether that's from standing outside in the sun for 10 minutes, eating a banana, or standing next to an unshielded nuclear reactor.
It's not some pedantic theoretical concern. There's an astronomical difference in the health risks between smoking a pack of cigarettes 4 times a week, using E-cigarettes 4 times a week, or applying a nicotine patch 4 times a week.
I find it hard to believe that smoking could be less dangerous than flying even for people who work as airline pilots or flight attendants.