The Elite know that they don’t have the medical infrastructure to deal with all the health issues that their industrial production causes, and they damn sure ain’t gonna spend the dollars needed to care for all the medical problems of all the people who are harmed by pollution, radiation, and processed food.
So why not just let the whole country smoke up and Die High?
Plus, they get tax revenues for the Elite siphon, and it gets them closer to their population reduction levels, all the while the masses are under the illusion that the State is opening up and giving us more freedoms.