At first blush it seems shocking that the CMS would not cover effective preventive care. However, being a smoker is a voluntary activity.
Smokers should pick up the tab for their habit
The consequences of being a smoker are extremely detrimental, both economically and physically. Although, because of the addictive factor, the habit isn't 100% voluntary because it is so difficult to shake, it is still unreasonable for society to pay for extra testing for those that cannot, or will not, quit this unhealthy habit. The CMS should not pay for extra CT scans. That should be added onto smokers' costs. Of course, doctors must let patients know that CT scans are needed, although not covered.
Lois FeinbergHollywood, Fla.
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