Do you think natural selection is failing us?

A therapist I work with was at a booking in a 5 star hotel and she said her client was smoking crystal meth when she went in the room. He refused to stop when she asked him to and she obviously didn’t go through with the booking. She could easily have massaged him, caused an embolism (or one of many things that can happy after taking a hit of amphetamines then being massaged) and killed him right there.
I imagine this is the kind of person that lingers on hour healthcare system at the age of 90 waiting for the liver of a car crash victim to replace his own self destroyed one.