Denying, or even reducing, access to healthcare for smokers is impractical, and therefore an unrealistic policy goal. First, the extent to which care is denied is questionable. Does the proposition model include denying palliative care? If it does, this literally means leaving people to suffer agonising pain in emergencies while they try to locate private prescription painkillers, if they can afford them. Further, does it include denying emergency procedures such as resuscitation in the case of a heart attack? If it does, where are patients supposed to go? Private emergency rooms are few and far between, or non-existent, in many countries – never mind private ambulances. Second, in order to encourage smokers to stop smoking, the process needs to involve reactivating access to healthcare if smokers quit. But any cut-off point at which the right is re-activated will necessarily be arbitrary. Some studies have suggested that, for instance, teenagers do irreparable damage to their respiratory systems even if they stop smoking young. If all citizens make an informed decision to smoke, as the proposition argues, isn’t it the case that teenagers make an informed decision to do inordinate damage to their bodies? If it is, then why should there be an absolute cut-off point at which one reassumes healthcare rights? Should there be a relative scale? Wouldn’t this be impossible to construct on a scientific basis?