With this fake democracy at least the leaders can restrict some wishes of the irrational sheeple. If it were a real democracy then the wishes would be infinite, and hyperinflation would be imminent to pay down those wishes.
Why do the wishes of the 'irrational sheeple' need to be 'restricted'? Your healthcare example was about irrational needs (e.g. smoking) being restricted by leaders.
What makes you think those wishes will be 'payed down' in a real democracy.
Politicians get elected because they're granting 'wishes' they can't afford, like me paying 30 a month for full coverage health insurance. 'Hyperinflation' wont pay down for anything.
A vote will never matter much, it's how people live and act that matters.
Because freedom is more valuable than the "common good". We are adults here, and we should be responsible for our own choices.
If one guy gets lungh cancer from smoking irresponsible all his life like a 5 year old, nor am I not responsible for that, nor shall I not pay for that. It's his fault, he should pay for it. If he ask me nicely, I might donate to him, but he has no right to steal that money from me though forced healthcare.
So, yes smoking is bad, but we should neither ban it, nor encourage it, nor create a ponzi scheme collectivist healthcare just so that then we should have the justification to ban it later.