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I'm wondering if "taking care of yourself" was defined as contributing more to the tax base than the cost of the services you consume. If that's the case then, I would wonder what time scale they're using. If they look at a person in a year that they have children in school or after they retire, then most are not a net gain. They may have many other years where they are putting a lot more in. There is also the difference between the value their productivity adds to society and their actual salary and tax payments.
As for the author and his health care, if his coverage has ever lapsed and he had a pre-existing condition, he may have healthcare but no coverage for that condition. I had a friend who was recently diagnosed with a heart issue. Her coverage had lapsed for a few months a year before. She's rather overweight. Her insurance company denied coverage for the heart issue because her weight was pre-existing. They will go to great lengths to avoid taking care of you. It may not be so simple as him not bothering to get insurance.
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