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This isn't actually a sob story, and I'm not saying he's entitled to labor of others. What I am asking is how your proposed system handles a case such as this.

And while it may be an edge case, these are large, broad systems that directly impact the lives of millions of living, breathing people. Such systems must be robust and well-examined.

And I'd also like to ask what a society would look like, that invests so heavily in the education of it's young generation, and relies on them to bring innovations and new ideas to the table, only to cut them down the moment they need any sort of assistance. It certainly seems to me like a huge waste of resources.

What if healthcare was just an investment in our society? Our young 22-year-old gets healthcare covered not because he's entitled to it but because society is invested in his well-being in order to continue existing and improve itself. Because the ROI of the young being kept healthy and able to work and pay into the system is greater than the cost of the ICU doctors and surgeons and wheelchairs and physical therapy.





The voluntary way of capturing future ROI with present investment is loans (or if you don't care about ROI, donation). Now I'm not saying that is necessarily the only option but it's the one you're gunning for based upon your economic argument.

Based on your criteria it's the most textbook case for an individual loan imaginable, your argument is the 22 y/o needs a loan for some healthcare, that he can more than pay it back, and that both parties will benefit. In the absence of charity, some kind of trade, family or friend assistance, then in any rational market (US market is regulated to hell so no guarantee it works there unless you free that market) it's a no brainer and as sure as an apple will fall from a tree, someone would be happy to make that trade although the kinetics and packaging might be up for debate.

I don't see how you can possibly presuppose a requirement for public assistance, in that scenario, in order for the health care to happen. Public assistance is only economically necessary to complete the health care if there is negative ROI and all donation or voluntary options are exhausted.




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