I don't see any way of eliminating the support for the people who make bad decisions while simultaneously provide assistance to those who get a disease that is not relevant to their lifestyle (if this can even be determined with some certainty).

If there was a method, it would not be politically palatable and the chances of implementing it are zero.

So, either you accept the stupidity with the random disease or you don't assist anyone...........and take the "sucks to be you" position.

Choose one. Your rhetoric about people who are fat and watch TV is getting long in the tooth.