Of course there should never be any Medicaid in the first place, and, as you said, there are always strings attached when one accepts government “help”.
Once Obamacare is established, they won’t just stop at fat folks and smokers. Since the #1 risk factor for most illnesses is aging, then the obvious thing to do is to deny care to anyone over 65, or maybe even 55.
As someone else suggested, favored groups (homosexuals, for example) will still be given care. Welcome to the brave new world where the old, the sick, the disabled, and the weak are sacrificed for the common good.
In the world of private employment, healthcare costs are a huge factor in hiring.
Did anyone really think that a 62 year old employee with 40 years of experience would be let go in favor of a 23 year old clueless kid because of ability?
Or that a child bearing age woman makes less than a guy?
Employers don’t want to pay for prostate cancer screenings or OB/GYN costs.