I don’t necessarily disagree, but this brings up the next round of tough questions:
If your bodily autonomy is absolute, fine, but what happens when your choices and their impact start to spill beyond your own personal life?
If you want to go wild with hard drugs, okay fine, whatever. But when you need medical attention because of that decision, should insurance providers or the state be obligated to spend in order to treat you?
When your addiction costs you your job and support network, should the collective taxpayer have to subsidize your poor life choices?
I don’t mind the notion that individuals should have final say over what happens to their bodies, but that sort of assumption of responsibility, at some point, cuts both ways…and the flip side of some of these decisions would suggest that the individual should bear all consequences of their decisions…which seems unlikely in practice. We’re not going to see an addict rushed to an ER and the hospital toss them out into the street saying, “This was your decision! Sorry!”
And the mitigation measures seem equally unlikely to fly with the “strict bodily autonomy” crowd: increased insurance premiums or exception clauses in policies in order to keep expenses reined in for the rest of the policy holders/taxpayers who aren’t using their strict autonomy in a way that adversely affects others.
While it’s fine to conceptually discuss these decisions in a vacuum where it only affects the individual, in real life application, these decisions have impacts outside the individual in almost every case, which fundamentally shift the discussion.