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<blockquote>...people who choose to smoke...</blockquote> You mean people who got sucked in by tobacco company marketing and peer pressure as kids and then found themselves hooked as adults, just as the tobacco companies intended? If we had a government-run single payer system, the government could simply bill the tobacco companies annually for the money it spent on care for tobacco-related illnesses, plus a suitable multiple of those companies' marketing budgets. That would be a more humane and more just solution, and one that would help more to get rid of smoking altogether, than simply withholding coverage from smokers. <blockquote>...get unnecessary abortions...</blockquote> Who'll pass judgment on which abortions are "unnecessary," some committee of James Dobson clones? You'd better hope not, unless you as a taxpayer are willing to foot the bill for the many times larger social services costs the unwilling and likely unprepared mother will require for years to come. Oh, and you might want to stop covering Viagra but not contraception as well.