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What makes you think people are not trying to be responsible? In other words, what makes you think it's an issue of intent and not ability?

How hard is it to not do something? Just don't eat so much, and 80% of Type II diabetes would go away.

How hard is it to not be depressed and anxious? Just don't mope so much, and 80% of depression and anxiety disorders would go away.

Have you ever tried just not breathing so much? It's pretty difficult.