Exactly. People in denial about their lifestyle related illness are some of the worst patients. Even apart from everything else, they have to look at the pain their choices caused loved ones. They're forced to consider the fact that their choices did that to both themselves and the people they care about. But people willing to take responsibility in that way seldom end up in the position in the first place. It's almost always going to come down to blaming someone else. And anyone involved in trying to save their pathetic ass make an easy target for their projection.