I see smoking as a separate category owing to the existence of second hand smoke. Smoking in a room with other people adversely affects those people. I think government is the correct body to be intervening in that scenario.
In what countries? Certainly none I've heard of.
Smokers are incredibly obnoxious. Smoking at a bus stop? Why not? Under open windows? Sure. On sidewalks, so that I have to breathe that stuff in when behind them? Sure.
What's that? Smoking at bus stops is banned? No problem — just move 5m away and smoke all you want, the wind carrying the smoke towards the bus stop all the same :)
And such laws are not realistically enforceable anyway.
Sure, I dislike smoking, I really don't drink that much either.
But then it leads to questions such as; What about birth defects? What about extreme sports(risk of permanent injury)?
There was a scandal in Canada recently about veterans asking for medical care and being push to assisted suicide: https://www.cbc.ca/news/politics/veterans-maid-rcmp-investig... >MacAulay walked the committee through what his department knew, thus far, saying the first case that came to light occurred last summer where the caseworker repeatedly pushed the notion of MAID to an unnamed veteran who had called seeking help with post-traumatic stress.
Look at automotive insurance points systems. People have to buy it so the sellers lean on the legislatures and before you know it a ticket costs the same points and screws you out of just as much money as an actual accident.
Surely that was a satirical comment and was meant to be an illustrative example of exactly the sort of mindset that runs political cover for a system as it pivots from providing enough value to become entrenched to using that entrenched position to behave in an extractive manner.
In my state if grandma gets pulled over for an out of date inspection sticker it's the same number of points as actually causing an accident. Someone is being fleeced.
I have zero faith that letting the government choose at the behest of industry who ought to pay more for healthcare that it wouldn't devolve into the same exact sort of exercise in finding a reason to charge everyone more.
And as a driver, I certainly want everyone around me to be required to properly maintain their cars.
What you're saying seems to make sense on face value but in reality letting insurance leverage safety inspections is just a politically less thorny wealth proxy. The inspections themselves don't provide all that much value (IMO this is because of how comprehensive they are, 90/10 rule and all that) and multiple states have ended their programs because they don't actually provide meaningful improvement for the money.
Regardless, even if there is somme hand wavy justification for it that some people agree with, it's flawed to the point it's probably not something we want to do with medical because it would make insurance unaffordable for so many people on flimsy at best pretexts.
That's why smoking is already heavily regulated in order to limit and minimise the impact that your choice has on others.
You can smoke as much as you want but smoking in public places, especially indoor, is banned not to impose your health choices on others.
This is how liberty works in a free society as mentioned in my previous comment.
Banning smoking altogether, on the other hand, is deciding for you and exactly what the "nanny state" refers to.
The claim that "it impacts others" is, at very minimum, exaggerated, but just as often completely fabricated out of pseudoscience and absurd movie plots.
Smoking is heavily regulated because there was a resurgence of teetotaling in the late 20th century.
Personally - aside from the smell - I have no concerns about people smoking near me outdoors or even in very well ventilated areas. I understand though that for some people (such as asthmatics) it can be a real problem that goes beyond simply being unpleasant.
Somebody probably drops a spent match, it's still smouldering and it drops inside the escalator where it finds plenty of fuel and begins a fire. From there you mostly just need bad luck - yes the staff could be better trained, but even when they do summon professionals the firefighters don't arrive in time to tackle it while it's still small, the then-unknown trench effect allows the hot gases to pool and initiate flash over suddenly, a bunch of people die.