Under the old system, people used to pay out of pocket for health care. Essentially, if you or those that loved you did not work, you didn’t get health care. The reasoning behind this was: Hey, it’s not my fault if you don’t work, so it’s not my problem if you don’t have health care, Jack. And anyway, work is good for you, so you’ll be better off in the long run. Happier. You’ll thank me, really.
We decided this was ungenerous, and even cruel, because some people couldn’t work, some had worked for years but were now old, and the economic system was unjust anyway. We gave lots of people health care.
Now we have a system in which people who work for certain employers, plus old people, plus really poor people, get health care, and everybody else pays out of pocket. We have decided that this is also ungenerous, or even cruel. So we want to give everyone health care.
The new proposal is that we provide health care for everyone, except those people who have poor health habits, who have to pay out of pocket. The reasoning is: Hey, it’s not my fault if you’re obese, so it’s not my problem if you don’t have health insurance, Jack. And anyway, healthy eating is good for you, so you’ll be better off in the long run. Happier. You’ll thank me, really.
This is considered a great moral improvement.