As I age I find myself increasingly becoming a healthcare spender. For a lot of people that's just a part of the chromosome shuffle and not so much about their life choices. But I can't say that. I've made very bad choices, over and over and over, knowing the consequences, across more than five decades now. My chromosomes are far from perfect but they would have done fine without my indulgences. Therefore I don't think it's right to impose my higher spending on the rest of you. I should just suck it up, walk it off, or suffer and die early, because it isn't fair for me to charge you for my pleasures. You don't owe me. I identify with the Inuit grandma choosing to drift off on an ice flow. But she has a much better claim on the support of her tribe.