................. many people are storing up astronomically expensive problems which are sometimes avoidable, ............... too much booze and too much saturated fat, lack of exercise, etc. The 5-a-day deniers who claim only junk food is affordable, despite being considerably more expensive than cooking healthy from scratch, when really they like the convenience and taste.
Clearly the issue of self-inflicted harm needs addressing but surely this can be done through education and/or taxation as with smoking.
If we single out groups to be exempt from the NHS principle of "free at the point of need" there is a danger that it is the thin end of the wedge. If we start with the obese, the smokers and the heavy drinkers we risk a snowball effect towards pressure to exclude others from free treatment.
I'm going to get all Niemöller on your arse as I can just imagine the Mailities now:
"What about sporting injuries? Why should I pay for a skier's broken leg or a joggers spinal injuries? Surely these too are avoidable injuries as a result of lifestyle choices?"
"What about twisted/sprained ankles from wearing high heels?"
"What about RTA casualties which are victims of their own reckless driving? Or cyclists?(motor or pedal)."
Hell, it could be argued that pregnancy is a lifestyle choice, it certainly isn't a disease or injury, should charges be introduced for that?