you're missing the point. this could be applied to any number of indulgent yet harmful practices people "practice". it isn't about the lack of responsibility for what happens after - that is a completely different subject. for the record, i do not condone causing yourself harm and expecting others to carry the burden.
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researchers in Australia have calculated that 8.7 percent of all healthcare spending, or $170 billion a year, is for illness caused by tobacco smoke, and public programs like Medicare and Medicaid paid for most of these costs.