The Cigarette packets even says "SMOKING KILLS" therefore if those with emphysema(Caused by smoking) have been cautioned that their lifestyle choices and actions could have an adverse effect on them, then the NHS shouldn't treat them. simple.

Those with self inflicted illnesses have caused their illnesses though. There are lots of schemes out there that can help smokers quit and help obese people cut down yet most ignore theses and come running to the NHS when they get ill. so why should they be helped when there are thousands of other more serious illnesses that healthcare services could be treating