Smoker? Overweight? There's no room in the budget for your operation.
https://www.forbes.com/sites/theapot.../#24b906da3b99
"In the rest of the economy, when a product or service is too expensive, businesses have the incentive to figure out how to deliver it less expensively. Think how much high-definition TVs cost when they first came out—tens of thousands of dollars—compared to today, when Amazon sells dozens of models for under $100. That economic incentive—to deliver better services with higher quality and lower costs—only exists in the private sector."