Those people seem incapable of considering that being surrounded by healthy people is a lot more enjoyable than being surrounded by the sick and poor. You don’t live in a vacuum. You interact with a lot of people every day, consciously or not, that probably earn less than you do, and clean your streets, wash your car, care for your elders and children, handle your food, serve your beer, and do a myriad of other things they can only do at good health.

That’s where those benefits go - to a functioning society where everyone gets a basic shred of dignity. Is it really so inconceivable to keep a little less of your disposable income in exchange for that?

It doesn't seem to me like the current configuration makes people less sick or poor.