My gastroenterologist had a conversation with a friend who is an Irish physician., Irish guy explained that in Ireland, where they have universal health care, they have common sense about treating patients. There, if you've eaten too much, drank too much, smoked too much and your body is dying, they take the case to an evaluating board and figure out whether it is worth it to treat you for disease brought on by your bad habits. Irish doctor says that is only fair because why should the rest of the population have to pay for medical care when you abused yourself for most of your life? In the US, doctors have to keep trying, it's their ethic. Be careful what you wish for.