DA and Henrin and Paul wants to talk about a Utopia where people either take responsibility for their actions or face the consequences and it has no repercussion on everyone else - but that ignores moral responsibilities and the connectedness of society. When someone choose to abuse drugs, it doesn't just affect him. Some drugs make the users more aggressive - that affects other people than the user. Drunk drivers are more likely to get into accidents - that affects other people than the drinker. Drug abusers are more likely to steal - that affects other people than the abuser. We can either try prevention, or we can let the people who got hurt deal with the consequences and say "It's not me, so I should be free to do what I want". When someone chooses to not buy health insurance or save enough for it when they can - it doesn't just affect them. It affects their family who will be left with the bill if they die from it. If they survive the impact on their wealth will still affect their spouse and children. We as a society can isolate ourselves from it (I don't have any responsibilty to my fellow citizens, just myself) by letting him die if he can't pay the bills upfront- but we still bear the immorality of letting someone die when it could be avoided.