I dont disagree that tobacco users are making themselves sick, and know that they are doing it.... but..
thats a pretty pretty slipperly slope you are creating...
what about the guys that eat fast food and other shit frequently? are they any less guilty of not taking care of their health than the tobacco users?
heart disease is the #1 killer in the US.. 1 in 5 people die because they eat mountains of shit food.. and make other lifestyle choices that were preventable... should everyone that eats McDonalds or Wendys twice a week get kicked off of their health care program?
what about people that overdose? some are accidental and are from the use of prescription drugs.. most however are not.. they are people willfully and intentionally mis using prescription and non prescription drugs.. should we kick them off of health care too?
The number of people injured participating in sports known for high levels of injury is exceptionally high.. roughly 10-15% of severe injuries in sports are experienced by people participating in "extreme sports" ranging from mountain biking, paragliding, snow boarding, climbing, etc... thats between 800K-1.1M injuries that require visits to hospitals/doctors.. they're willfully participating in an activity that they know has a super high chance of seeing them injured and having to get stitched up, bones set, etc..etc.. should they get kicked off of health care?
How exactly do you select tobacco users to be kicked off, while allowing fat asses, drug abusers, and mountain bikers (and many others) to stay on?