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Fair questions Baraka. But for me, it's a starting point or at the very least, a discussion worth having. You could merge this with some sort of basic national health care program.
The main problem as you suggest is the establishment of standards. I would assume, basic rule of thumbs would be a place to begin. EX: Healthy range for blood pressure is 120/80, BMI ranges, cholesterol etc.
Smokers should be treated the same in my opinion because it affects everyone.
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