The economy is like the tyranny of a rocket equation. You only have so much fuel, the gravity between the worlds is already there and you can’t change it.
It is physically impossible to meet all the goals - there just aren’t enough resources (natural resources * capital * labor * technology) to accomplish them all.
American GDP-per-capita is above $50,000. Foreign GDPs outside of a few hyper-efficient places like Hong Kong or Singapore are lower.
If one person takes $3,000,000 to keep alive, you have effectively consumed the complete economic output of one person’s whole entire life.
But it’s worse than that, because our worker had to pay for housing, for food, for transport, for education, and taxes to support all the secondary systems required, and also raise a child to perpetuate the system. If all that’s leftover after all that is $10,000 per year, then any $3,000,000 case consumes the total lifetime surplus resources of five workers.
And I look at many of these cases and do think “fuck, that could be me” - which is part of why I suggested a wage subsidy program!
But a lot of Leftist or Liberal language wants to allow people to create unlimited burdens on society. They want us to pay for treatment while not allowing us to prohibit people from doing things that would require more treatment, or creating people that require more treatment.
You can’t have both! You can’t have both!
The fewer the number of people that require expensive treatment, the more resources you can spend on them. The more that need expensive treatment, relative to the size of the productive economy, the less you can spend on each one, until it falls below the level required for them to survive.
If is vitally important that society become more efficient and more technologically advanced. We must produce more, and more efficiently.
And we can’t just throw aside social technologies. If broken homes fuck people up, statistically, and cause them not to do well in the labor force, then the cost of that comes out of liver transplants, not just ferraris.