I want you to take a deck of cards and deal them out face up to ten imaginary players around a poker table, Texas Hold’em style. You can deal them out however you like, but the goal it to get it to be the most fair possible. So if you dealt player #1 pocket aces one hand, you probably want to hold off on him for awhile and focus in on the others. Unless, of course, the river brought him a bad beat and he would have lost a lot of money. Then you may want to make it up in the next few hands. Don’t forget player #5 though, who’s just been sitting there folding for a round. He’s due a good hand sometime soon. And you just let player #7 go six hands in a row drawing to a four card flush that never materialized. That’s kind of against the odds so watch out for that next hand.
Or, you know what? You could just screw the whole system and deal the cards out randomly. Over a long enough time and over a good number of players, it’s all going to equal itself out. There’s really no need to play God over the system. It’s just best to-literally- let the cards fall as they may.
So it’s the same in health care.
You know, if you give health care to the entire population there will absolutely be people that take advantage of it because it’s free or because they’re greedy, or because they’re hypochondriacs, or because they’re just unlucky and disaster strikes.
Likewise, there will be people who take advantage of it in a completely different way by never going to a doctor until something preventable reaches the stage of catastrophic and costs a ton of money to everyone who pays into the system.
And just as surely, there are people who will pay into it their entire life and nothing bad ever happens to them and they just wasted all that money paying into a system they had no need to use.
Stop playing God, stop playing dealer and giving everyone what you believe would work out because over a long enough period of time and big enough population, it all will equal itself out.