To me both sides of the 'arguement' are raising valid points.
One side of the 'debate' is IMHO raising a serious question , should the NHS and the funding of the NHS/ Welfare payments continue Ad infinitum to those who are categorically NOT going to alter their lifestyle and expect continuing funding and care at an enormous cost to the tax payer who funds their lifestyle and taking valuable NHS care provision from others because of it. e.g what is the cost in money terms, welfare and NHS care if you don't stop smoking knowing you are going to have 'another' leg amputated or you are so obese you will be in receipt of Disability and other Welfare payments for life, continued care requirement from the NHS or you are an alcoholic , drug addict.
The other side of the 'debate' is to raise valid points re compassion and fair play, the fact there are many things we do that areare equally self inflicted but are deemed to be in a different type of category but none the less are self inflicted and therefore cannot be viewed differently. A fair point to raise, e.g nobody told you to climb the mountain that broke your back when you fell, nobody told you to play rugby that broke your neck, nobody told you to play hockey where you broke your arm. Yet they are self inflicted injuries that once again require funding from the tax payer for NHS care and in the worst degree Ad infinitum Welfare payments, so should these cases be classed as different?
For me I think there is a difference in a person on an hour by hour, daily basis committing themself to self destruction as opposed to somebody engaging in sport and having an accident.( I might not agree with myself on mountain climbing, potholing etc)
The irony is one group of people are killing themselves with full understanding of what they are doing, the other is trying to use sport as a measure to 'keep fit'.
. Addiction is a terrible condition but some do take responsibility and turn their life around but they are those who will refuse help and even see it 'as their right' to demand care, which of course they obtain.
The NHS/Welfare costs are enormous to the tax payer but sadly the cost to those who took part, willingly, in the program are nothing by comparison. They all accepted they were at fault, they accepted their responsibility for their actions and all accepted they knew they were doing untold damage to their life, but apart from the woman with alcahol induced liver failure and the man who had the gastric band none of them were prepared to alter their lifestyle so it is fair to ask this:-
' At what point if an adult is not prepared to take responsibility for their lifestyle does it become nothing more than the state facilitating their self destruction , is that the right use of tax payer funding through the NHS/Welfare systems?
We are a compassionate country, we understand the difficulty of addiction, we will never turn away those who need help with care so I don't see things will ever change but if I am to be honest there are times when you have to give rise to the thought that compassion can also be a dangerous thing when it gives those in the most need permission to self destruct and we as a society are tantamount to aiding and abetting them.