Of course, illness has an even larger cost to society and to overall happiness, but that's much less measurable, and therefore has less effect on public policy.
At least with cigarettes there was a public nuisance argument because of the smell and also the secondhand effect. I dont find general public health a compelling argument for restricting sugar.
In a single payer system, the government is mandated to provide you with health care, since you are paying for it with your taxes (or would be if your income was high enough), no exceptions.
Typical tools of such governments include:
- taxes on products which are deemed of danger to public health, for example taxes on cigarettes in the EU. The government is then mandated to invest these taxes into the health care system
- public health campaigns (ads etc.)
- age restrictions, as they exist on alcohol in the US.
Legislation shifts to represent newest advances in science, yes. That's not per se a bad thing.
Not every country with a single-payer system is an authoritarian communist hellscape, you know.
And from a more theoretical viewpoint the societal cost of unhealthy people is still there at the least in loss of productivity, so the argument for prohibition is still there and the US is only really liberal in things that are backed by wealthy corporations/people that have subverted the government.
In the end I guess freedom is the straw man here.
This system also affects your freedoms in many ways. If a large portion of the population gets fat, you have a smaller pool of people that are able to do physical work, making it more expensive for you. You have a lot more demand for healthcare, making it more expensive for you. You have people demanding car-centric infrastructure because they can't walk, and that will affect you. Etc.
It is sad how so many people in the US were persuaded to be so afraid of supposed "communism" that they are actively voting against their interests.
> most Americans will take freedom over free health care
When you're addicted to something (alcohol, nicotine, sugar, gambling, ...) is it really "freedom"?
From my limited travels in Europe, I see countries with problems, but with people who appear to be happier and healthier.
mental health care, addiction treatment, obesity, college loans. At the root of it all, even if they won't admit it directly.
Is it? You'll either have higher health insurance costs to cover the people destroying their bodies, or you'll have to prove to your insurance provider that you live a healthy lifestyle somehow. Both seem like a bad thing.
Corporate profits. They want you to get addicted for recurring revenue.