> In a world where the government provides health care as a service (which is where we're trending, eventually), abusing your own health does have a victim: the taxpayer. Granted, we don't like to think about it this way, and when we do it's usually for political showmanship instead of a real reason.

This is a very dangerous line of thinking. You end up with a totalitarian nanny state that doesn't let anyone go outside or do anything with any degree of risk.

There have been science fiction stories written about that very future!