Under Britain's National Health Service, smokers in Manchester have been denied treatment for heart disease, and the obese in Suffolk are refused hip and knee replacements. Patricia Hewitt, the health secretary, says that it's appropriate to decline treatment on the basis of "lifestyle choices." Today, it's smokers and the obese. But, if a gay guy has condom-less sex with multiple partners, why should his "lifestyle choices" get a pass? Health care costs can be used to justify anything. I have never understood why the left embraces lifstyle choices while at the same time the demonizing lifestyle choices. Why do they decry puffing on a cigarette will promoting puffing on a peter in a bath house? Why do they say it is cruel to make fun of fat people but it is just to deny them healthcare?