I would think it might be therapeutic and would be in the patient's best interest for them to know that they are making decisions that undermine the doctor's ability to help them to such a degree that the doctor is not willing to accept them as a patient. It might wake them up a bit and lead to a change in their habits, which would be more therapeutic than going through the charade of enabling their behaviors with after-the-fact band-aids.
If people really want good health they are going to have to do their part, but most are too entitled and too lazy to accept that.
You should try this profession for a while before you go casting aspersions.
If you wanted an easy job you should have become a Maytag repairman; I fix lawnmowers and you should hear the horror stories they have to tell me, it saddens me every time I have to put one down.
I smoke and enjoy a drink once in awhile.I do not expect to ever have any problem finding health care.There is way too much money available from my insurance company and myself for you all to turn me away.So, enjoy the challenge and the jack.