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[–] Charlez6 ago (edited ago)
We fundamentally disagree on the best way to manage those things. It seems to me far more efficient and effective, not to mention ethical, to have people voluntarily allocating their resources to those causes as they see fit. Remember that governments are not perfect committees of omniscient wizards, they are just as flawed as any other person, with the added corrupting factor of power and all the negative outcomes that flow from being able to spend other people's money with disregard for the cost/benefit in pursuit of votes to maintain that power.
Take your TB example. Even if we assume a society composed exclusively of sociopaths who would rather step over their dying mother than assist her with medical expenses, they still have an incentive to help strangers with such infectious diseases for purely selfish reasons. Assuming most/all people are insured (based on the logical premise that insurance would be the most sensible, cheap and effective way to handle healthcare for almost all people in a free society), those insurance providers have a huge incentive to prevent outbreak of infectious disease among strangers to maintain the health of their clients. Add in the fact that people are certainly not sociopaths, generally speaking (need I mention Europe forfeiting their continent to foreigners based on feelz?), you'll find most people will bend over backwards to help those in need - especailly friends and family - and would be far more likely to patronise businesses that boast charitable policies (eg. insurance companies could commit to various charity programs, such as "free basic coverage for a homeless guy when you sign up to our premium subscription", to attract customers).