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The argument is non-unique. People in the sun too much. People who smoke. People who engage in risky sexual behavior. People who engage in dangerous sports. People who do dangerous jobs. People who have genetic predispositions. People who live into old age (yes, I know this is moving gradually to the absurd, but you get the point.). . . Don't get me wrong, I think Americans (and everyone) should try to live healthier lives, but obesity is certainly not the only thing contributing to soaring health care costs.