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GTCharlie: Poor lifestyle is a factor the docs know how to adjust for. The science and technology exists to determine all the factors that lead upto a persons death.
Little things called autopsy's and post mortems...
As for college.. the more that go to that level of education and complete it the better potential for high skilled employees. That level of workforce potential should be nurtured and kept open otherwise you end up with a lack of skills. It is simple economic sense to have college open to as many potential skilled employees as possible.