It doesn't cost anything NOT to smoke, do drugs or drink. Condoms are cheap, legal and available at any drug store.
In fact, if you don't smoke, don't drink or do drugs you'll save a lot of money, and thereby avoid a lot of stress. Granted when you are poor and have a lot of problems you are drawn to these outlets, but you dont have to be....smart people aren't. The rest reap what they sow.
My cynicism comes from having ER docs in the family...at Johns Hopkins my nephew is so annoyed with people he wont go into private practice. Low income, minority, immigrant people come in with problems....like diabetes. Which they allowed to get very bad because they are 100 pounds overweight. Cant pay, no money. they get free treatment. They get free medication. free hospital stays. They get medicine to take home....some times they get a visiting nurse to come by a couple of times a week to help, advise or support them. 6 months later they are back at the ER...this time with maggots in their ulcers. Wash, rinse, repeat. 6 months later, they need an amputation. Some people just don't have the self realization or the self discipline they need to survive.
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Why do you think Bloomberg tried to tax soda? and go after the Big Gulp in NYC which offers an astounding 32 ounces of soda at one serving? cause he is a big meanie?? no, it was to try to get the poor off of a beverage thats killing them, a move many people see as being authoritarian but hey, education sure aint helping.
PS I LOVE COKE and could drink a can every day with each meal. I resist and indulge on weekends, only one can per day...that stuff's truly poison.