Right wing economist Tyler Cowen said this a while back:

2. A rejection of health care egalitarianism, namely a recognition that the wealthy will purchase more and better health care than the poor. Trying to equalize health care consumption hurts the poor, since most feasible policies to do this take away cash from the poor, either directly or through the operation of tax incidence. We need to accept the principle that sometimes poor people will die just because they are poor. Some of you don’t like the sound of that, but we already let the wealthy enjoy all sorts of other goods — most importantly status — which lengthen their lives and which the poor enjoy to a much lesser degree. We shouldn’t screw up our health care institutions by being determined to fight inegalitarian principles for one very select set of factors which determine health care outcomes.

So Fuck you, Cowen.

And while I'm disappointed that this isn't actual single payer or non-profit, it at least is a step forward in some direction, and backwards in others. Also, it's sad that the biggest smile I get is a vengeful one, instead of one of joy.