 A robust regard for liberty prompts adopting an extreme libertarian perspective on the law. Yet “[t]he notion of radical individualism focuses on individual health behavior and ignores the social preconditions of that behavior ”(McGee 1999: 211). What, on the surface, appear to be inviolate personal choices may be straightforward products of social forces as diverse as “media, advertising, movies, literature and folklore” (McGee 1999: 212). Debates over managed care have stressed that individuals’ unhealthy choices have externalities, including higher health care costs for fellow citizens. Unhealthy lifestyles can impose substantial costs on others. Smokers impose the costs of illnesses caused by exposure to second-hand smoke. Unhealthy diets and the lack of exercise can contribute to reduced worker productivity and increase health care spending. Obesity in pregnancy can adversely impact the health of developing fetuses and infants. Unhealthy lifestyles divert societal resources from other areas of public need, such as education (McGee 1999).