Define a poor choice.

Would that be a job that circumstantially for all intents and purposes requires you to sit down for 8+ hours a day. Is that a poor choice? Would that take away my healthcare subsidy?

Is playing American Football, or kickboxing a similarly poor choice?

Would - and here's where I get facetious in a hope of highlighting the issue with the way you raise your choices/free healthcare point - knowingly continuing the pregnancy of a child with Downs Syndrome be regarded as a poor choice?

Finally, who decides?