Often times, the least productive are also the least healthy and they get their healthcare subsidized by the productive and healthy.
This is true, depending on how you look at it. My follow up question however is what about the old and retirees? By and large, it is this group that is and will be putting most of the strain on your healthcare system with the retirement of the baby boomer generation.
A retiree needing dialysis, hip replacement or even precscription drugs...there's a nice side business for U.S seniors coming to Canada to buy the same drugs at significantly cheaper costs...most likely is not going to be a very productive member of society. Even though they've worked a lifetime, if they don't have good medical coverage or are dependent on an inadequate fixed income (a pension that's stayed the same over the years and has fallen way behind compared to inflation) what should happen to them?
Should they be penalized for no longer being productive, and not having an adequate retirement plan? Should maybe we just euthanize them? That is, after all the most efficient and cost-effective solution.
Not to put too fine a point on it but why should my son wait an extra nanosecond for treatment in favor of someone else's son if I'm paying for the healthcare for both? You want to talk about fairness, that is what I find fundamentally unfair about "universal" healthcare.
Because the value of a life cannot be pegged to how much money you do or do not contribute to society. Not to put too fine a point on it, but the decision of who gets treated first should be based on who needs it more and the seriousness of the condition.
Because if you go the route of biggest contributor gets first bids, you kill democracy and might as well go back to the middle ages with a feudal system where those without are beholden to those with.
Again, let's use the fire department analogy.
A fire starts in your town. The Fire Department, being a branch of the municipality, gets more of it's funding from the nicer houses in town and the property taxes and moreover, business taxes, of the people who live in the biggest houses and probably own a couple shops locally.
So, when the fire hits, what would happen if the fire department ignored the less well off houses and ran around to different parts of town to douse the nice houses to ensure that they couldn't be touched by fire? Meanwhile, since the biggest contributors are getting "first dibs" there's no co-ordinated response to the fire or if there is it's an afterthought.
Again, you are correct this is an ideological thing. What kind of society do you want to live in? That is the question. I believe in the concept that we're all in it together. I'd rather live in a system in which no one is left behind, than a dog-eat dog world in which the motto of the day is "screw you, I'm fine!!"