This is an issue up here even with Medicare where no one is without.
I've always sat on the fence with this issue, since it's easy to judge others but at the same time having sympathy for them. There are a few dr's up here who are now refusing any ptts who smoke. When I was a smoke (QUIT 4 YEARS AGO TODAY...WOOHOOO) I would have been horrified had a doc refused to see me, but in retrospect, I get it now.
Here I was, presenting with Lupus, Lyme and so many other issues and was smoking and asking "why am I not doing better" Was crazy!
If someone is obese and has a ton of health issues, yet they refuse to eat well and or exercise, refusing them would be like refusing to treat an active alcoholic or drug addict. Obesity is an addiction like any other. How can you refuse someone with mental health issues like this? You can't!
Then you get the person who is not an addict, but just someone who is SO uneducated about good health, even when you try to help them understand, they still don't get why they cannot eat 50 lbs of sugar a day.
I have a client, nice old man. He's type 2 diabetic and has had 2 heart attacks. Fine, he pays to see me, but he just will not give up sugar. He will email me and say "I'm out at a restaurant, can I have cheesecake since it's dairy and not sugar"
How do you not try to help someone like this?
This can be said about anyone who abuses their body, yes, even those on the juice! We cannot pick and choose who to help and not help.
If someone is abusing themselves, assume they are in some mental health crisis and do the best you can with them.
Tough one cause I find myself judging others all the time with regards to their health......