DV,
"As to the cause of their illnesses who gives a shait if they contributed?'

I do if I am paying for it and everyone paying for it should care. As it sits now people that did zero to contiribute to their health problems suffer from lack of care because someone who sucked down 4 packs a day for 30 years is tying up resources.

I have no problem paying for people that really need it, none what so ever and I give freely to support that need. Did your parents and grandparents have health insurance ? no? yiou mean they had to plan accordingly?. Throwing money in the form of free healthcare at the US population is a mistake just as any other entitlement program. Fixing the problem is a mix of accountability and charity.