Cigarettes, cable and personal responsibility

"Although the system requires improvement, it has a good foundation, and through sacrifice and responsible decisions, 'regular people' can live within the current system, even without the government. America created plans to help the elderly and disabled (Medicare), the poor (Medicaid) and our military (VA). A smorgasbord of private-sector insurance policies is available to those who make responsible decisions for themselves and their families before getting ill or hurt. So why is it in a mess?"