OK, let me take on this one by one:
Why do some Americans do the same mistake now as the Germans in 1930’s?
They smoke because they have become addicted and are too weak to quit, even though they know the harm it does. (I’m a reformed heavy smoker. Smoke free for over 25 years)
Many reasons, but some because they are economically dependent and lack a social security net.
This last one is hard to explain, but probably similar to the one above.
Now is your turn to tell what you think is the “basically same reason” and what it has to do with health care??