My need doesn’t create an obligation for someone else
Couldn’t agree more, but depends on what the “obligation” is.
Just because I have O- GOLD coursing through my veins, doesn’t obligate me to cough it up for anyone for any reason, unless I am OK with it.
Now for the 180.....there are lots of things that EVERYONE takes advantage of, that not everyone has paid for.
The roads you travel on, the school your kids go to, the library, parks, stadiums, etc you visit ... have been paid for (for the most part), by others.
Your taxes may have bought X amount of tar for the road, yet you use all of it.
That is what is done in a society.
As a doc, you have given up lots of other trades that one needs to survive.
You buy your food at WalMart, and while you do pay for it, the farms are heavily subsidised by the government, so you pay way less (ignoring the fact that that food may not even be there were it not for the subsidies)
You call the plumber, electrician, mechanic etc to your house... and their education is likely a result of subsidised school loans (much like your own medical education).
So it is not unfathomable that someone uses something that they have not fully paid for, or conversely be obligated to pay for something that one may not use.
I just draw the line way way way farther (or behind??) from yours.
Healthcare is an investment that we as a society should make.
Like most governmental investments the ROI is HUGE.
Keeping kids fed helps them do better in school.
Proving adequate sex education keeps them from getting pregnant.
Helping folks when they are laid off helps them get back on their feet...
ALL of these (and much more), lead to reduction in use of long term government services.
One could argue that letting old people starve (like the Republicans are trying their best to do), is a wise investment since what can they contribute to society, but I am not sure if other than Red Riding Hood, “killing grandma” is something that people can get behind.