It's one thing to smoke, but another whole level of behavior to act as though you believe the laws of nature don't apply to you by flouting being a smoker in a particularly loud and obnoxious way.

The same mindset applies to those who roll coal and engage in other obnoxious actions. In effect they are declaring that they don't believe in science, medicine, etc. I wonder whether limbaugh will ever reflect upon whether his actions contributed to his condition, or whether doing so was worthwhile.