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So, in other words... it doesn't work. Yours is in fact a completely unimportant distinction unless you're using it to support ecigs because...

...guess what they get with ecigs? A far safer alternative which allows them to continue their nicotine habit and enjoy the pleasures of smoking. So you're in support of ecigs now?

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People should be able to consume what they want, but what you argue is like saying a chemotherapy doesn't cure cancer because patients give up on it after it makes them feel ill.

If ~90% of patients did actually give up on it in reality then yes, I would say that because it wouldn't work for 90% of patients. The medical community would move away from it.

Of course, that's not the reality. every single one of your arguments are hypothetical metaphors that have no connection to the facts of the issue at hand. You have no practical solutions. You're only answer is for people to 'toughen up'. Quite the problem solver you are.

Is it ever appropriate for people to engage in self determination or should the lack of an easy solution always be an excuse for an individuals actions?

Sure, who said it was never appropriate. Sometimes it's the best and/or only course of action. Sometimes it's not, like right here.

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