Health care, like all goods and services, is a limited resource. Once it is removed from market forces by turning it over to the government and giving it away for “free*,” rationing is the inevitable consequence.
Do you know what “rationing” means in the context of health care?
Well, you know, they have to consider the interests of society as a whole. And, apparently, that interest is that old people die. What of their individual interests? Don’t be silly; it’s not about individuals. Besides, it would be selfish to want to live.
Alright, turning the sarcasm off: end of life triage decisions about costly medical care are no fun, no matter what. But at least in a free system, you can pay for as much or as little of it as you earn and/or as you choose. Despite socialist whimpering to the contrary, it is just to have the care that you earned. Justice is even in the language: observe the word, “earned.”
This may seem harsh at first glance, but what socialists fail to understand is that reality itself is what prevents any alternative. Socialism does not make this decision kinder or more just. Socialist Utopians claim that it “should not be about money,” but that is a physical impossibility. No power on earth can make it not about money. They can make it not about your money, but it’s still about money… just the state’s money instead of yours. The state could tax away every dollar on the planet, and it still would not be enough to provide medical care to everyone without triage. It wouldn’t even be close.
And when it’s about the state’s money… believe me, the decision does not become kinder. If you’re old enough, the state’s interest is that you die. I am not kidding about that. That is a grim, mathematical, truth.
Kinder, that is not. And it does not become more just, either. Your money may not be a perfectly just measure** – perhaps you were good and brilliant in life, but unlucky. (or had your wealth destroyed by socialism…) But it is at least somewhat just. It is literally what you earned. You are picking nobody else’s pocket, and that is just. Contrast socialism, which is – by definition – unjust. It is a gigantic system of trafficking in the unearned. Of taking from those who have earned things and giving to those who have not earned them.
In short, any socialist interfering with the market necessarily adds injustice by trafficking in the unearned. More injustice than its proponents promise it will “fix.” (promise, and never deliver) Whatever you think of the justice of what happens in freedom, abridging that freedom is necessarily more unjust.
** “Perfectly,” in the Platonic sense, which is to say, fantastical.