Organ transplant.

There’s a board who decides which patients qualify for the top of the list. If you are someone who sat in a chair gaming, from teens to 30s, pickling your liver with alcohol for the duration, thus killing it, you won’t make that waiting list. Two reasons. You can’t be trusted to care for the new liver. You’re not a useful member of society.

Organ transplants happen when someone young and healthy dies, is in a position that those organs can be preserved, and the family, in the midst of their horror, shock, and grief, both allows the conversation and then agrees to the donation.

As such, if that sit in a chair gaming and pickling themself individual has a billionaire dad, maybe they go black market? Otherwise it’s hospice care.