... I mean, they _don't_ give liver transplants to alcoholics, generally. Lifestyle is a big factor in most places in figuring out who gets a transplant.

> or any medical care to smokers.

Normal medical care generally works on a completely different heuristic. If there's one ICU bed, and a car crash victim, a smoker, and an unvaccinated covid case needing one, then whoever out of the three has the greatest need and will benefit most gets the bed (ie. _blame_ doesn't come into it).

For transplants, they look at possibility of long-term success, and lifestyle problems _are_ a factor there.