I don't think real choices come into it when drink and drugs get a hold on someone. I suppose you could argue that they made a choice in the first place but it's not always that simple.
I profoundly disagree. It
is that simple.
By the time I was old enough to be tempted to smoke cigarettes, it was well known that they cause all kinds of health problems. The directors of cigarette manufacturing companies were stating on oath in public hearings that they believed that this was not the case, the lying b@st@rds, but they were losing ground. Nevertheless, the advertising in those days was merciless. Smoking was quite unjustifiably linked with all kinds of successes in life. Utterly reprehensible.
Drugs and other substance abuse wasn't much of an issue then, as far as I know nobody had yet thought of sniffing glue, but both my grandfathers smoked from early ages. My father smoked from when he was about 14. Some of my cousins and many of my friends took up smoking when they were very young, and some of them tried to get me to smoke.
I knew that smoking was bad for you.
I knew that smoking costs a lot of money.
I knew that smoking makes you smell absolutely awful.
As far as I could tell so did everybody else, and I looked on in amazement as people spent money they couldn't afford on something that would seriously damage their health. For me, it wasn't a difficult decision. I said "No".
And I kept saying "No", and I joined ASH, and I even had a tee-shirt printed "I DON'T SMOKE" and I used to walk around in pubs and bars wearing it, carrying a glass of milk. (I wasn't a big drinker either.

) When friends of mine married over thirty years ago, the groom, Ian (coincidentally I'll be seeing him at lunchtime today) begged me to let his new wife smoke because during the reception I'd been nicking her cigarettes and throwing them away. When I asked people to stop smoking on buses they either looked at me as if I was mad or gave me verbal abuse. Only once did someone try to assault me but that didn't get him very far.
I wrote to MPs and Prime Minsters and in 1984 even to Robert Maxwell just after he bought Mirror Group, begging them to do something about the damage that the tobacco companies were doing to people.
As far as I know, none of it ever did any good. A few people did put out cigarettes on buses but that's about it. None of our leaders ever replied, and Mr. Maxwell (he didn't reply either) turned out to be one of the most impressive fraudsters who'd ever sat in the House so he was another disappointment. I don't remember exactly, but I think that was about the time that I gave up the unequal struggle.
So all right, maybe actually taking a stand against mass insanity is a bit more challenging, and maybe it isn't going to get anyone very far, and from my experiences I can understand why more people don't do that.
But just saying "No" is not difficult, it's only slightly more difficult than being stupid, and I
still can't believe that in the 21st century it's legal to smoke, but I can get arrested for carrying a penknife on a train.
The whole flippin' world is stark, staring bonkers.