What I meant is that heart disease is largely avoidable for most people through relatively simple / nearly free solutions like good diet and exercise, yet it’s still pervasive as OC pointed out.
I guess “poor decision making” was a misleading phrase on my part because I think I get your point that individuals could put greater value on enjoying the present, future be damned, and who’s to tell them that’s not the best way to live life. Life on average will be shorter, but I guess that’s not fair to project that as a success metric onto other people who might not care as much about their projected lifespan as they do about enjoying some more indulgent foods.
And further to your point, there’s a very reasonable debate about the value of the individual vs. the value of the community in decision making that isn’t universal. So yeah I take back that earlier comment.