If you finding yourself holding a patient responsible for things like addiction, diabetes and obesity please take the time to educate yourself on the social determinants of health. We’re past blaming these things on patients, we never should have been in the first place.
The Marmot Review and its recent update are good places to start https://www.health.org.uk/publications/reports/the-marmot-review-10-years-on
Or Michael Marmot even summarises the salient points in his book The Health Gap
Might add some more resources to this thread later on
Another excellent starting point https://twitter.com/HannaKienzler/status/1353077769802928134?s=20
Should really go without saying but there’s of course nuance and complexity to all of this, some of that is in replies, some of it requires a much longer form piece to properly address