[vladvasiliu]

Right, and I, as someone living in France and paying a hefty part of my income to fund public healthcare, understand that the state would want to limit people doing stupid shit costing the society a fortune in fixing them (though, of course, this just creates a debate on where to draw the line).

But isn't the point of non-socialized healthcare, like in the US, that you pay for care out of pocket? Or maybe via your insurance, which will probably increase your premium if you repeatedly engage in stupid actions that need expensive fixing?

[lores]

Society still has paid at least for your education, depends on your working power to at least fund your dependents, and at least on some degree of reasonableness from you not to raise everyone's insurance premiums.

There's a line to draw somewhere, but even the most ra-ra-individualist heavily depends on society, and has/should have obligations in turn.

[functionmouse]

Either pay for my health care or get your nose out of it. If my healthcare is going to be my own private matter, then it should be just that. How insulting.

[stalfie]

One problem with this mentality is that reality doesn't really make the ideological distinction between whats private and what isn't, or who pays for what. Healthcare is not an intersubjective field, and so actions have consequences, no matter what you think about them.

Vaccines are a good example of this, herd immunity is needed for many of them to work. Antibiotic stewardship is another, unregulated usage of antibiotics risks breeding superbugs.

More generally, "private" ideas are rarely private. Kids born to idiots practicing alternative medicine often die. This scales to societal effects if you have enough idiots. Even though capitalism makes this very fuzzy, many resources in medicine are in fact finite, meaning that time and money spent on one person might mean that another dies. Sometimes that other person is in another, usually poorer country. COVID vaccine availability illustrated that effect nicely.

Essentially what you are advocating is widespread natural selection, with potential consequences affecting anywhere from small local communities to the entire planet in rare cases (COVID is a good one, look up Trichophyton Indotineae for a recent example). And even if you actually do want that, unless you truly follow through, this also comes a huge amount of waste of very limited resources. That is unless you are willing to go the distance and advocate that unvaccinated kids with pneumonia from a measles infection should just go ahead and die because of their parents or neighbors stupid choices.

If you take Kants approach to ethics, that you should only act on principles that you would want to become a universal law, then the principle of healthcare being a private matter is a bit of a non-starter, at least by most ethical systems.

[eru]

> Society still has paid at least for your education, [...]

Against my will!

> There's a line to draw somewhere, but even the most ra-ra-individualist heavily depends on society, and has/should have obligations in turn.

That's why I pay for stuff, and other people pay me. That's how money is supposed to work. It coordinates communities.

[cwmoore]

Insurance, alcohol, and other lobbies pay for our laws in the US.

[MikeNotThePope]

Dumb people doing dumb stuff incur a cost for all of us, whether it's through taxpayer-funded healthcare or higher premiums for private insurance.

[eru]

> whether it's through taxpayer-funded healthcare or higher premiums for private insurance.

Insurance should insure your risk, and that's fairly independent of what other people are doing. (Of course, other people driving dangerously can endanger your health, and thus drive up your health insurance costs.)

What you have in mind is probably a consequence of forbidding insurance companies from charging people according to risk, and forcing them to charge people some average of a pool they are placed in?

[btreecat]

You want the best spread possible, by having the largest pool possible.

We can all debate and discuss the best way to get there, but mathematically it's a pool that includes most everyone.

[cmiles8]

Individual heath insurance premiums aren’t linked to your behavior or health or activities (apart from smoking). Most of that was made illegal by the insurance reforms in the “ObamaCare” bill.

If many people started doing stupid things though then yes it would raise premiums for all.

[eru]

Well, that's an argument against that particular method of regulation. Not against people doing stupid stuff.

[gadflyinyoureye]

Let's be honest here: there is no benefit to alcohol (for example wine) and is only detrimental. As a true French person who does want the government paying for "stupid shit" you need to call for the end of wine making and its consumption.

But I guess that might be the debate line of which you spoke.

[robbomacrae]

"Let's be honest here: there is no benefit to alcohol (for example wine) and is only detrimental." - That is a pretty extreme statement and easily falsifiable.

There are many studies a quick google away that show a much more nuanced take ie [0] and [1]. But the strongest evidence is our most successful societies and civilizations have been intentionally drinking alcohol for ~10000 years [2]. If it was only detrimental then I'm pretty sure it would have worked its way out by now. I acknowledge there are negative issues.

[0]: https://www.webmd.com/diet/ss/slideshow-skinny-cocktails [1]: https://nutritionsource.hsph.harvard.edu/healthy-drinks/drin... [2]: https://en.wikipedia.org/wiki/History_of_alcoholic_beverages

[thebigspacefuck]

Your fist link is to “10 skinny cocktails”. As far as I know there is no safe amount of alcohol.

https://www.who.int/europe/news/item/04-01-2023-no-level-of-...

[wing-_-nuts]

There has been this societal whip lash where alcohol has gone from being 'good for you' to being 'poison' over the last few years.

While it is true that any amount of alcohol is technically bad for you, 'the dose makes the poison'. Drinking in moderation is relatively harmless. For example, 2 drinks / day raises one's risk of colon cancer by 6%, but that's a relative increase on top of one's ~ 4.4% lifetime risk (which also includes drinkers, so we could be double counting). So you're increasing lifetime risk to 4.7%. Do it for all cancers and you're likely increasing your total risk of death by ~ 1%. Things really only go exponential beyond ~ 20d/wk

So you have to ask yourself, is your enjoyment of the occasional beer worth the very low increased risk? For myself, the answer is yes, but I would not dream of making that decision for someone else, and I object to the government doing it for me.

[eru]

That's like saying watching movies has no benefit.

It's entertaining for some people.

[vladvasiliu]

I don't know, maybe? There already are laws around advertising alcohol, to the dismay of the local wine industry.

I don't have stats on hand, but I seem to remember that smoking costs much more than alcohol, despite a sizeable (1/3? not sure) proportion of car accidents being caused by the latter. Alcohol and drug use is already considered an aggravating circumstance in some situations (car crashes, assault, etc).

But yeah, I think there are activities that are clearly extremely risky and some that are clearly not. I guess alcohol lies somewhere in the middle: I never felt compelled to drive after drinking; I usually just zone out on my couch or go to bed.

There's also the fact that alcohol seems pretty much unstoppable. See how well prohibition worked in the US. Ditto for drugs and smoking, where, despite our local flavor of "war on drugs", cannabis consumption has exploded in recent years. Taxes on tobacco are extremely high here, yet many people still smoke. I understand smoking is relatively less popular than before, but people do still smoke. Alcohol consumption has also gone down, but people do still drink. Despite the communication campaigns that they're not healthy.

So I think that since there are some activities in which people tend to engage in anyway, even if they're outlawed (cannabis comes to mind), we, as a society, should figure out ways to mitigate that. Have people be accountable. Wanna do stupid shit? Knock yourself out, but don't have society bear the burden.

I don't know, as someone who mostly rides motorbikes, I wouldn't be shocked if I had to pay a premium at the hospital if I left half my face on the pavement in a crash because I figured wearing a helmet, or even serious equipment, was somehow not cool, or whatever people tell themselves to justify riding next to naked. Yes, I wear all my gear even under 40ºC. Even in the US desert, where I understand helmet wear is not mandatory. Yes, I sweat. I've only ever had a minor crash despite riding a big-ass "dangerous" crotch rocket, but I enjoy having my skin attached to my body more than not sweating. Should I pay a (lower?) premium anyway, since motorbikes are statistically more dangerous than walking? Maybe?

[decimalenough]

You must be fun at parties? Some forms of alcohol are tasty and all of them loosen inhibitions, which is beneficial for both recreation and procreation.

Obviously there are downsides too, but booze is popular for very good reasons.

[bluGill]

You don't need alcohol to be silly or talk to people. Various religions reject alcohol completly and yet manage just fine.

[vkou]

> Or maybe via your insurance, which will probably increase your premium if you repeatedly engage in stupid actions that need expensive fixing?

US insurers can only discriminate by age and smoking status.