IMO, health care should be free to all, and hmos, as profit based institutions, should be outlawed. Almost every other country in the developed world attempts to provide these things for their people, and yet the wealthiest nation of all of them can't be that humane. To me its an outrage and a shame. Reminds me of mad dogs. Two related points.
Societies die when too many people become free-riders.
In reality, of course, there are other forms of contribution. In addition, much paid word does not contribute to any social ends, and may indeed be socially damaging while serving strictly individual ends. For me, there are three broad categories of social contribution. The first is socially responsible market production. We should never regard market incomes as measures of contribution.