UNCLE MB, thanks for the response. Your point of view is not uncommon. I've shared it myself as recently as well, probably yesterday, depending on the topic and who I was annoyed with.
I would humbly submit, based on your other posts I've read which suggest you are a reasonable thinker, that you might indeed pull out your hose, but FIRST you would call the fire department.
The fire department in most communities is a communal effort to provide a response to the ravage of fire, regardless of cost. And in most cases, we fund it cheerfully, knowing it's in the community interest.
Are all fires 'accidental'? Of course not. In fact, many are due to careless activity and choices. But we forgive the error on our neighbors part in the interest of all. If his house burns too long, it may come over to my house.
If his house burns all the way down, he may make demands on the social welfare system which we all have to pay for.
I, and I bet you too, don't see the flames and think, "I bet dude was smoking on the couch again, that dumbass. I don't think I'll call the fire dept this time."
No, we call the FD anyway and after the flames are put out, we work to educate our neighbor on not being stupid or careless.
What if he doesn't listen to us? What if his house catches on fire again next year? We still call the fire dept, don't we?
To carry the analogy to health care, it would seem to me to be a higher level of thinking (and btw one I personally have NOT mastered yet, less I sound too sanctimonious) to say, if someone has a treatable affliction, it is in our best interest to help first and then educate.
Let's face it, if it was my Mother, or my Brother who was the stubborn Pizza Hut eater and he needed heart surgery, I know I wouldn't say, "Tough, dude. You didn't listen."
Right?
And then The Guy reminds me, "Hey Bar, everyone is your Brother".
Oh yeah.
Forgiveness is a pain in the a$$. Lecturing is so much easier and it feels so SMART.
Take it from me, I've tried both. And still working on it, day to day, just like you I imagine....peace