California City May Tax Sugary Drinks Like Cigarettes

If you choose to be fat, if you choose to smoke, if you choose to live an unhealthy lifestyle, you should be the one to pay for your healthcare expenses.

I keep hearing this crap and seeing it modded up as "+5 Informative."

Here's the problem with these arguments: Study: Fat people cheaper to treat [usatoday.com].

This is a problem with the majority of health care expense studies that call for "nanny state" approaches to just about anything. Such studies usually compare annual costs to treat people who have various conditions or behaviors. Rarely do they consider total expenses for the entire lifespans of patients.

Think about it this way: an obese or a smoker or whatever may get sick a little more and thus cost a little more on average for the early part of his/her life. But a lot of these people then have heart attacks or strokes or whatever and die at age 45 or 55 or whatever. Meanwhile, other healthy people continue living to age 85 or 90, and they need health care (including various illnesses, operations, whatever) for an extra 30 or 40 years more. In the end, even many "healthy lifestyle" people will die of cancer or some other costly illness, so they end up costing the system a lot of money in the last couple years of care, just like the obese smoker who ends up with lung cancer 30 years earlier.

But those extra 30 years of healthcare, even for healthy people, will often end up costing more than the obese person who was "nice enough" to die and remove himself from the insurance pool early.

The cost-benefit analysis is a bit controversial, and there are some conflicting studies, but basically when you consider the total cost of healthcare over an entire lifespan, that obese smoker probably costs everyone a little less -- or at least about the same amount.

You can apply this logic to just about any "nanny state" law. Seat belt laws supposedly save us money because people wearing seatbelts end up with fewer major injuries, thereby costing the healthcare system less. But those studies never take into account the fact that people who don't wear seat belts tend to have a much greater fatality rate, and every 18-year-old dumbass who gets himself killed without a seatbelt is someone the healthcare system won't have to treat for another 60 or 70 years.

In the end, most of these things tend to balance out... because people who do stupid things just don't live as long and therefore generally shave decades off of their healthcare costs.

You want to be angry about someone -- be angry with the 100+ year old healthy people who have had minor operations and other problems over the years. They're the ones who collectively are costing you huge amounts of money over their lifespans. Maybe you're in favor of cutting off health insurance for anyone who lives past the average lifespan??

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