Once upon a time, having money had almost guaranteed good health, or at least good health care. Nowadays mere wealth guaranteed very little. People who publicly destroyed their own health had a rather hard time staying wealthy—not because it took good health to become wealthy, but because it took other people’s confidence to make and keep money. If you were on a conspicuously public metabolic bender, then you weren’t the kind of person that people trusted nowadays. You were a credit risk and a bad business partner. You had demerit points and got cheap medical care.