Because the group purchasing the insurance pays THEIR money to buy the insurance. As opposed to someone else's money paying for it.
Socialism is a system where the producers pay the way for the non-producers. We have way yonder too much socialism in the US today. Means based is a nice way to say socialism. If you get an education, work, and do well, then the government will penalize you by making you pay more taxes that the person who refuses to be educated, cannot or will not hold a job, and the fool government feeds them, houses them and charges the producers the bill.
Let them starve, they won't. If it comes down to starving or working, by gosh, they will work. But, you can't provide them food for free, because they won't work. Simple as that.
Why do you people keep wanting to repeat the same old failed experiment? Hey, McFly, anyone in there? It don't work!
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