I would <i>love</i> to live in a society with those problems. Right now, we&#x27;re still squabbling over issues like those mentioned in the article. My only comeback to your initial question is: why does the 80yo need a kidney? Is it because he burned the old one out with drugs? I&#x27;m all for holding people accountable for health problems they can prevent (like obesity - many health insurance plans give you a discount (rightfully so) for being in the healthy BMI range), but the problem comes up when insurance is run as a business, and of course the first way to cut costs (and increase profits) is to stop insuring those who you know will cost more (whether it&#x27;s their fault or not).