What to do with irresponsible people with their health...the only choices are let them die or pay for them. What other options are there?
Well the other option is what Pig posted in the OP, which is dropping their coverage so they get too foot their own medical bills on their own, or as I've suggested raising premiums. I've got to ask you though, we've known smoking causes cancer for years now, so I really have to ask, why should anyone pay for someone that gets lung cancer as a result of smoking? Maybe we should refuse to treat them. In a country where you are free to live however you like, shouldn't that freedom also mean you accept the consequences of your actions, instead of expecting others to clean up after you?
I brought up the other things because you said you don't believe in entitlements, but you do believe in entitlements because if social security is there for you to collect when you get old you are basically saying you will collect it. You feel justified in collecting it even though you will most likely collect more from social security and medicare than what you pay into it, which means you will be taking money from younger people to pay for your benefit.
When people refer to entitlements they are referring to government programs that give something for nothing. When I retire and start getting my social security retirement benefits, that's not entitlement because I've been paying into that every paycheck since I started working at 17. I pay into it (as does my employer), its supposed to earn interest, and then I start getting it back when I retire. Which is exactly how my 401(k) works, which is also not an entitlement. You also have to earn work credits to get it, you don't just get it because you exist in America. Medicare works the same way.
And again, I don't expect either of those programs to be there by the time I retire, I suspect they'll have collapsed by then.