I used to drink a bottle of vodka a day, every day, for about 40 years and it never occurred to me it'd kill me. If I'd have continued it might have killed me. My doctor said I should stick to wine.
The doctors will treat those of your citizens whose physical and psychological constitution is good: as for the others, they will leave the unhealthy to die and those whose psychological constitution is incurably warped they will be put to death.