This dilemma is exactly what I have been telling my unhealthy patients for quite some time. Many have grown to expect the governmental safety net to be there when they need it, and it was for decades, but that is beginning to change.
Recently Arizona announced that it will be cutting funding for certain organ transplant procedures due to the increasing budget crisis. I think this is a trend we will see more and more as the states are increasingly less able to fund their health programs. Whether this change in policy is fair, or good or ethical is open to debate; the reality is it's here, and probably won't be going away anytime soon.
Organ transplants are un-Godly expensive, as are the programs that supply organs for transplant. So few people actually get organ transplants, that evidently this seems a politically safe place to cut funding.
So, after years of living like life's a party and worrying about the consequences later, it is time to take charge of your own health and your own life (and help your family do so as well) and stop depending on the government to take care of you.
Smokers can no longer count on state-funded lung transplants. Bacon-lovers can't count on that heart transplant. Heavy drinkers can kiss that new liver good-bye, etc. Obviously I'm not talking about the children who need transplants here, just people whose organ-deficiency is self-inflicted.
So the thing you are looking for is not a Diet, or some trick or magic pill. What we all need is a LIFESTYLE change. Eating more natural raw foods, leaner types and cuts of meat is a great start. A little alcohol never hurt anyone, but in excess is silly. Remember, all animals spook and run from smoke, so we probably shouldn't smoke anything either.
A great Blueprint for such a lifestyle can be found in this book. I have it and think it is one of the best ideas to come along in the medical/nutrition field in a long, long time. If you take care of your organs, they will more than last you a lifetime.