Medicare forces everyone in, high risk and low risk. The only thing they don't do is force people to not engage in an unhealthy lifestyle.
The only thing I can say about this is that I don't believe there is any studie that has shown that it is really cheaper for people to stay healthy longer rather then getting sick earlier.
In the end everyone is going to die of something and is probly going to get some treatment for that. Nobody has convinced me that it is more expensive to do heart surgery when a person is 45 and then that person dies of a heart attack at 55 compared to the person who lives to 100 but spent the last 20 years in a home with all kinds of health issues and care given.
You keep putting out that controling the bad things that people do to themselfs is going to be cheaper on the system, but I am not sure that is the truth or even something I would want. I only want to live so long as life is worth living. I know I am going to die and if I had something incurable and I could go through hell just to gain a couple of years of life, I can not honestly say that I would take the option to do that. I might.
In the end, almost every person is going to need a treatment and if it happens at 50 or 90 years old, I am not sure how the money truly adds up. So I think education is immportant but the final decision comes down to the person who has to live the life and I am not sure I buy into the arguement that they are harming the whole system and not just themselves as some try to proclaim.