But this logic is vile when it’s enshrined as the basis for a
health care system, framing patients with complex health needs as money pits not only for insurers, but also to the healthy patients who resent
“subsidizing” their sicker peers. The obvious problem here is that health, overwhelmingly,
is socially produced: Life expectancy and relative morbidity differ starkly
between rich and poor, Black and white, college-educated and those with no
advanced degree—even by census tract and ZIP code.
The uncomfortable truth undercutting the bellyaching from the “Why
should we all pay for someone else’s reckless choices?!” brigade