Bismarck created the world’s first national health insurance system 130 years ago because he wanted to make the German people healthier.
The rationale for national health insurance in the U.S. today is the same as it was for Bismarck.
People can’t pay for expensive care without health insurance and without health insurance they can’t get health care.
“So, unless we adopt the view that those without ample savings who fall seriously ill should quickly die (and so decrease the surplus population), a country with national health insurance will be a wealthier and more successful country.”
But that wasn’t his purpose anyway: Bismarck created social insurance in order to tie the self-interest of the individual to the state. He wasn’t trying to strengthen individuals. He was trying to strengthen government.