The patient has a dependent, disabled wife. However, from his classification as an alcoholic, how effective is he as a caretaker? His bad habits do not indicate a healthy way of life for himself and his dependent spouse. One of the reasons a why alcoholism and smoking are considered deviant behaviour is because we are all knowledgeable of their negative physical, emotional, and mental affects (e.g. depression, premature ageing, lung cancer, etc.). Many people classify alcoholism as a disease in its own right—one that perpetuations bad, often violent, behaviour. Even if the surgery is successful, his bad habits propagate direr, future medical issues that influence his longevity and status as a provider (e.g. if he experiences lung cancer because of his smoking and has to undergo treatment, he will be unable to take care of himself or his spouse).
The health-care system also