Perhaps a bit of an overstatement on several counts.
Be that as it may, there is a movement afoot (supported by many physicians) to deny (or at least forestall) treatment including transplant surgery to those who are responsible for the condition which requires such — eg, lung transplants for inveterate smokers, liver transplants for alcoholics. It's hardly a stretch to consider the same for those who engage in other risky behaviors; in fact, back-country skiers and snowmobiliers now have to pay for their rescue in many parts of the world, whether they have insurance or not.
And on and on.
If someone's going to behave like a jerk, he/she should be treated in like fashion. Callous? Merely natural selection. We need to improve the species (as well as cull it). Irresponsible behavior qua stupidity should be its own reward.
