And I'm sure this has been said a million times, but can you even imagine had a healthcare provider said to a lung cancer patient "well, it wasn't smart of you to smoke 2 packs per day for 30 years - your selfishness hurts your family." Can you even imagine? Or to the gay, AIDS patient: "too bad you couldn't refrain from your risky sexual behavior"? The practice of medicine will takes decades to recover its lost credibility.