The Adam Smith Institute
The Adam Smith Institute is the UK's leading innovator of free-market policies. Named after the great Scottish economist and author of The Wealth of Nations, its guiding principles are free markets and a free society. It researches practical ways to inject choice and competition into public services, extend personal freedom, reduce taxes, prune back regulation, and cut government waste.

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If it costs us we can stop you doing it
By Dr Madsen Pirie

In the Society section of today’s Guardian is a discussion of whether NHS treatment should be withheld from those who deliberately pursue unhealthy lifestyles. It mentions the footballer George Best who carried on drinking after a liver transplant, and asks if heavy smokers merit heart treatment. It says:

In some circumstances people can have duties to do things that are in their own interests, even if they may not be aware that they are and, where this is the case, they may be done by others on their behalf without their consent.
The other is the idea that we ought to avoid burdening other people unnecessarily with the costs of our care.

I am quoted in the article basically saying that the principle could lead on from smoking and drinking to other health-risk habits such as eating fatty foods and refined sugar. Furthermore, we are forced to pay for the NHS and are, including George Best, entitled to get what we paid for.

For reasons of space they did not quote me saying that it is not acceptable to take away people’s freedom by forcing them into the NHS, and then use that fact to take away more of their freedom.



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Adam Smith (1723-1790)
Adam Smith was the great Scottish philosopher and economist best known for "The Wealth of Nations", his pioneering book on free trade and market economics.

A wide selection of material about Adam Smith is now available on the Adam Smith website. This includes the full text of his two major works, The Theory of Moral Sentiments and The Wealth of Nations.