Different groups, though. I've think I've been drunk an entirety of twice in my life, simply because I find it the most unenjoyable sensation in the world - I can't understand why anyone would willingly put themselves in less control of their body. On the other hand, I enjoy a good cider or a beer or white wine (fuck red) as much as the next person. I still pay alcohol duty, however, just by virtue of purchasing alcoholic drinks, despite the fact my drinking of alcohol in no way contributes to NHS costs, and probably reduces them as I slightly reduce my risk of a heart attack or stress-related stroke. Charging people who end up in A&E for alcohol-related issues is a much more direct link between abuse of alcohol and the costs of that abuse than alcohol duty is, if the latter got cut and the former increased, I wouldn't mind on a purely philosophical level provided that the former took into account ability to pay, etc. My main concern is not that it's unfair, but rather it'll have really worrying repercussions: if you're poor and sustain an alcohol-related injury, you become more likely to just not seek medical attention at the point you get a £100 fine.