I've asked two people these questions in the comments on my previous healthcare post, but I'm going to go ahead and ask the question here, so if I asked you there, you might was well answer here.
1. If there is a liver patient who refuses to stop drinking, should he or she be given a transplant liver that could go to someone else?
2. Should money be used to pay for that operation that could be used to pay for healthcare for someone else?
Actual doctors or those close to them can correct me on this one, but my impression is that if you won't stop drinking, there's no well in hell the US is going to give you a transplant liver that could go to someone who has stopped drinking or who never drank in the first place.*
Anyway, how do your views on those questions reconcile with your views on my previous proposal for having a personal responsibility element to what heathcare the government will pay for?
EDIT: I took out the snark about how in Britain alcoholics only get liver transplants when they are rich and famous because further looking into the matter revealed that it wasn't true. Well, that the UK gave a liver to a famous athlete who drank himself to death soon afterwards was fully true, but the fact is that the UK puts a great many livers into alcoholics. Meanwhile, if this UK citizen who hasn't had a drink in 15 years doesn't get a liver transplant before his tumors get much bigger, then he will be taken off the transplant list because if you have too much cancer in your body then you are no longer considered a reasonable candidate for tranplant.
If your belief that people should be given the same care regardless of how they take care of themselves rests on an assumption that organs, doctors' time, money to pay for health care and hospital beds are infinite, you are very much mistaken.
Well, if you were worried about the man who wrote the Guardian article I linked to above, you can stop. Frank Deasy's liver failed today. He died on the transplant list. By some estimates, 1/4 of the donated livers in the UK go into alcoholics.
Great system they've got there.
*Yes, you can get it by flying to a third-world-country and essentially buying it but rich people in countries with nationalized health care do that too.