"Should society bear the cost of health care for Americans who knowingly engage in unhealthy behaviors, such as smoking or excessive junk food consumption?" In a recent interview with CBS News, U.S. Health Secretary Robert F. Kennedy Jr. raised this provocative question. Kennedy used examples like eating doughnuts or smoking three packs of cigarettes a day to illustrate his point, asking whether individuals should expect the same level of public support as those with congenital or unavoidable health conditions.“I’m not going to take those choices away,” Kennedy emphasized, stressing that people should be free to eat and drink what they like. But he questioned whether society should be expected to fund the consequences of such choices, suggesting that incentives — both for individuals and industries — should be realigned to better support desired public health outcomes.Public Health Experts Raise ConcernsKennedy's remarks quickly drew criticism from health experts and advocates. Many viewed the statements as a slippery slope toward policies that could limit access to care based on personal behavior. Joan Alker of Georgetown University noted that this echoes past attempts, like West Virginia’s 2007 Medicaid plan that restricted benefits for patients who failed to follow health guidelines. That plan was eventually scrapped.Critics warn that Kennedy’s comments hint at a punitive approach rather than one grounded in support, education, or evidence-based policy. Regina LaBelle, a former drug policy adviser, said the remarks marked a return to a time when public health relied more on “shame and stigma” than on science and support.Cuts to Health Programs Add to ConcernsThe timing of Kennedy’s statements is especially significant. They come amid major layoffs in his department, including at the CDC and FDA offices responsible for smoking cessation and tobacco regulation. Ironically, these are the very programs designed to prevent chronic illnesses before they start — illnesses often linked to smoking and poor nutrition.Though Kennedy has pledged to focus on personal empowerment, the downsizing of health programs and public messaging campaigns raises doubts about how effectively the administration can support Americans in making healthier choices.Mixed Reactions From Policy CirclesNot everyone disagrees with Kennedy’s stance. Michael Cannon of the Cato Institute welcomed the idea of holding individuals accountable for their choices, arguing that people are less likely to make harmful decisions when they must bear the consequences themselves. He said, “The Constitution doesn’t say anything about health, much less doughnuts and cigarettes.”On the other hand, watchdog groups like Public Citizen pointed out the inconsistency in Kennedy’s health agenda. While he has criticized the role of corporations in promoting obesity, he has also expressed reluctance to expand access to costly weight-loss drugs, raising questions about how the government plans to tackle chronic health issues.The Larger DebateKennedy’s comments open up a broader national debate: Where should the line be drawn between personal responsibility and public support in healthcare? As the U.S. grapples with rising health costs and growing chronic illness, this question is likely to resurface — with no easy answers in sight.