The opposing side does make a very sound argument though; if your lifestyle choices make you sick, "we" have to pay for the treatment. Hence, "we" have some say over the choices you make.
It bugs me that I can't counter that argument more effectively - anyone care to have a go at it ?
First, smokers already pay higher insurance premiums and most have to pay for their health care, so no one (ie. taxpayers) has to pay for their treatment.
Second, if smokers really die 13 - 14 years earlier than non-smokers, then they are not using publicly-funded nursing homes, medicare and social security benefits, which is a cost savings for the taxpayers. Non-smokers live longer and they make up around 80% of the population (8 out of 10), therefore they'd use up far more of those public resources than smokers, who make up only 20% of the US population (2 out of 10 people.)
A study by the Centers for Disease Control and Prevention put the nation's total cost of smoking at $3,391 a year for every smoker ($6,782 per year for our two smokers mentioned above.)
The maximum annual benefit for social security is $30,156 and Medicare costs the government about $10,666 per person (43 Million People / 458 Billion per year.) So, for the non-smokers, that would be a cost of $40,822 per person, per year for every of the 13 - 14 years the 2 smokers were already dead.
$40,822 X 8 non-smokers = $326,576 X 14 years = $4,572,064 total "costs to society."
Take $4,572,064 divided by $6,782 costs per year for 2 smokers = what the 8 non-smokers spend in 14 years would take 674 year's worth of the 2 smoker's smoking-related expenses to equal the same "costs to society." (Not to mention the $1,143,016 the 2 smokers also didn't collect in social security and medicare for those 14 years.) So, society clearly spends far less on the smokers because, on average, they die earlier.
I have yet to see any convincing evidence that smokers cost non-smokers anything at all or that the government-paid health costs for uninsured smokers is greater than the cost of non-smokers living longer. (Whenever you see "the costs of smoking," that always includes what smokers are paying for themselves and not just what taxpayer contribute towards smokers' health costs. I was unable to find an estimate of what non-smoking taxpayers contribute to smoking-related costs.)
So the argument that they have the right to tell us what to do because we are costing THEM money is complete BS.