indeed, for a man who fears Big Gubimint micro-managing our freedoms, where do you see the rabbit-hole of deciding which human behaviors deserve coverage or not hits bottom? hot chicks have to pay ten times higher premiums b/c they're 10X more likely to get the clap? no coverage for donut-fans? no covering tendon-pulls nor rectal sores for gay sport climbers?
at any rate, the big boozers, bastards, brawlers n' butt-smokers i've known over the years are/were inveterate doctor-haters and don't generally use any of the services they pay for in their youth and usually accept death pretty rapidly when it wanders their way in the form of cancer, heart-failure, etc.
The alternative to "withholding care" from people who have unhealthy lifestyles or dangerous habits is a system where they pay higher premiums and the state leaves them alone.
I'm surprised to learn that you prefer the alternative.
And yet those most at risk of health problems associated with unhealthy lifestyles are those least able to bear the costs of higher taxes on cheap food and higher premiums. Somehow other governments have managed to nudge their people in the right direction and enforce more stringent regulations on food without succumbing to your tired stalinototalitarian nightmare fantasy.