Why would they be smug, the people making the decisions may or may not have children themselves, and be in the same position. I agree with Karen to some extent, but NHS shouldn't do gastric band operations, cosmetic surgery, the exceptions being badly scarred from a trauma, and birth defects, stop endless non essential surgeries, like breast reductions, enlargements. We have come to expect much from our health service, major operations, medicines that can save lives, that once would have been lost, but these can be extraordinarly expensive. Dementia, Alzheimers, Cancer patients need drugs, all expensive treatments.
Drug addicts cost which ever way you look, alcohol abuse far worse. But addicts will steal, deal and cost the country more in the long term if they don't get help, end up in prison, or worse. Mental illness often comes with alcohol, substance abuse, would any suggest we don't help those people.
Our PCT is cutting many Mental health centres because of cost cutting which is a disaster waiting to happen, to replace it with care in the community, is a load of nonsense, it doesn't work, having seen it first hand. If we didn't have endless health tourists, foreign nationals who haven't paid a penny into the pot, then perhaps you could offer IVF to childless women. But as a right no, not at this time.