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They're not, however, comparable in obesity rates.

I'd be happy to see a single-payer healthcare system in the United States with strict denial of coverage for smoking-linked lung cancer, type 2 diabetes, and any other medical problems caused by the choices of the patient.

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They aren't, but you're looking at this the wrong way around. You want all levels of government working together to create a healthy society - If your urban planners just defer health costs to private health insurance, what incentive do they have to create spaces that are healthy and productive? Are there measures schools can take to lower mental health incident rates, etc.

Health outcomes aren't determined solely by visits to doctors and the availability of pills.

What about sports-related injuries? Serious question.

Should a marathon runner in this scenario get treatment for knee damage or amateur / recreational boxer - for head trauma?

I didn't say no treatment, just no coverage. If you choose to engage in risky behaviors/activities, then you are more than welcome to buy supplemental insurance as one of the costs of your lifestyle. It would likely be fairly cheap for boxers and runners. Possibly even offset entirely by their associated healthy lifestyles, and therefore eligible for default coverage on a net cost basis.

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