You're talking deaths, he's talking illnesses. Not the same discussion, especially wrt health care costs.
Perhaps I wasn't clear - 'most deaths in the US' refers not to poor choices, but rather the big causes - heart disease, stroke, etc. Those are factually the big killers in the US (heart disease being far and away #1, the illness being largely preventable).
I'm not saying most people die from avoidable causes, but that the lifestyle choices most people make create many of the illnesses that are the big kilers. They all get rolled into one statistic.
Please don't be offended by this, but if anyone is moving the goalposts it's you - we're talking about healthcare costs and you've focused almost entirely on death. There's a lot of money spent before end of life costs.
Health costs stemming from obesity are massive and that is almost universally avoidable.
Fully aware, I am fully invested in helping many poor families in my community. Have been for years. I've posted many times of the uphill battle they face wrt eating healthy.
But chewing to live in a reckless manner is not owned by the poor - there are massive numbers of middle class (and higher income) folks who smoke, drink too much, don't exercise, are obese, etc. Most everyone - even the poor - have the choice to sit on their butts and smoke one rather than go for a run, do some bodyweight exercises, etc.
As you may recall I've been one of the people you speak of. For quite a few years I averaged over 80 hours/week between two jobs just to get by, and even that wasn't enough. I get it, but there are still choices as to what to eat, how much to eat, etc. Some choose poorly.
The part in bold is the part I have a problem with. Poverty makes obesity easy, yes, but it does not cause it. It literally does not.
I think we can cure a lot of ills (generally speaking) by reducing poverty, but it's an excuse, not a cause, for obesity, smoking, other poor lifestyle choices.
Again, none of this (regarding poverty ) is new to me - I've been knee deep in it for many, many years, seeing it first hand. I'm not blaming the poor for being poor, but I do blame people for their poor lifestyle choices, regardless of the reasoning. I hope I've not come across as dismissive about this - unlike most people, I've lived it, I understand it. Yet I don't accept that being poor, for example, means one has to be obese. Or working many hours means one must make poor choices.
I'm not insulated from it, but ultimately, if someone wants my help, they need to be wiling to address their own choices. I'm not going to give money to a poor person to help buy food if I find out they're using it for gambling, drugs, etc. I feel the same way about mandatory health insurance - our country is getting worse and worse wrt obesity, which is directly linked to many, many illnesses we spend billions each year treating, so it has to be addressed if people want everyone on board.
Two things:
1- I appreciate you taking the time to share this - while none of it break new ground for me personally, I do hope someone reads this and it opens their eyes to some aspects of poverty they've not considered.
2- I love your heart in this matter - you're obviously invested in this and the world needs more people will to do that.