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    We do pay as far as alcohol is concerned through high alcohol taxes Keith.

    Interesting thought from something I read over the weekend.

    Healthy lifestyles and keeping fit is a huge thing in New York. There is a massive boom in health clubs as well. Apparently it is being driven by the Private Medical Companies and the extra premiums they charge if someone is unfit or have a unhealthy lifestyle. It can make a massive difference. In addition discounts are available for those who do keep fit.

    Seeing the obesity levels in the USA there is either a lot of people without PMI or many just don't care... or, more likely though, the premium differentials are increasing and in so doing encouraging essential changes in lifestyles. There are contracts in the UK for health related insurance products that encourage this too.

    Now I would not advocate the American health system for the UK but I am certainly in favour of dumping the failing NHS in favour of a European style insurance based system. Perhaps this would have another benefit then, not just a better health service, but encourage more healthy lifestyles as well.

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