They don’t mean early care by doctors, they mean early care for yourself. They ( doctors) don’t think that people who smoke or are obese, deserve to live.
Some insurance doesn’t cover it anyway. A friend of mine was denied coverage for knee surgery because she is obese.
There is something she is not telling you. More likely she did not make an effort to lose weight and was denied over concerns from her doctor.
A guy at the gym was obese and they required he lose 90 lbs before they did the transplant because if he was the same weight he would not be able to do the grueling rehab that is required for the transplants to be successful.