Not having universal healthcare is like choosing to live in a house where disease is allowed to circulate freely because some rooms are labeled “premium.” The pathogens don’t check credit scores. Infection doesn’t pause to ask whether someone was insured, employed, deserving, or unlucky. Illness moves through bodies the way smoke moves through walls—indifferent to ideology, allergic to moralizing.
A society that withholds healthcare isn’t being frugal or principled. It’s being reckless. It is deliberately leaving parts of its population untreated and then acting surprised when costs explode, productivity collapses, emergencies multiply, and preventable suffering becomes normalized background noise. This isn’t personal failure; it’s systemic neglect engineered into policy and defended with spreadsheets that never include funerals.
Universal healthcare isn’t charity. It’s infrastructure. Clean water. Fire codes. Sewers. You don’t argue that only wealthy neighborhoods deserve sewage systems because waste, like disease, does not respect property lines. When people are forced to delay care, skip treatment, or ration insulin, the result isn’t moral clarity—it’s epidemiological stupidity.
The cruelty is disguised as choice. The inefficiency is disguised as freedom. And the human cost is reframed as inevitability. That’s the real obscenity: not that people get sick, but that we pretend sickness should be a financial negotiation rather than a medical response.
You can’t build a healthy society on exclusion and then blame biology for noticing. The universe is not impressed by your insurance model.