Until the dad in this family has an unexpected heart attack at 40 and goes to the emergency room, now he has a huge amount of medical debt he can't pay. We all subsidize this cost in the form of higher prices. Maybe we should just refuse them at the door and let them die if they don't have insurance, they might make a different decision.
There are several other ways to look at the scenario you presented: Is the dad taking his chances and is just unlucky for himself and his family? Perhaps by saving and investing his own money for 20 years, he would have been able to pay the cost of his medical emergency. Additionally, because there is no third party paying medical expenses in this scenario, medical prices would much cheaper in this scenario. The party directly paying for a service is more likely to hold the service provier accountable, the reducing the rampent overcharges we see in the medical profession. What kind of mechanism is behind $100 hospital aspirins? What do you think healthcare price increases been far exceeding the general rate of inflation for many years now?
Another way to look at is the dad took his chances and he and his family lost. What’s wrong with that? Should there be a Government monitor that oversees your strapping in your young child in a car seat to make sure you don’t do it wrong? Should the Government eliminate smoking because it is proven to be unsafe for the user and those around him? Should the Government eliminate alchoholic beverages because of its potential for misuse? By the way, look up the national cost of substance abuse that accounts for increased medical expenses due to health issues and accidents. This huge number shows the cost of irresponsibility. The reason the Government does not outlaw smoking for example, is there is money to be made through taxes and campaign contributions.
Following the money and power flows and you will understand what is behind most policy decisions and propaganda in the US.
It is fundamental to a dynamic society that people are free to make their own decisions, especially when it does not involve a third party. When we are free to make our own decisions and are held accountable for the quality of those decisions, over time we will become better decision makers. Either that, or some may get an early visit by Mr. Darwin, as it were. Society, like nature, is better off for seeing a culling out of its weakest members. Less competition for resources and a lower carbon footprint, for examples.
As far as the responsibilty to one’s family, taking a small medical chance for the certainty of saving a huge amount of money is a reasonable one for some people. For others, it is not. For those people, they can pay for their own healthcare either out of pocket or they can pay for their own insurance. In the case of poor people, they simply do not have access to healthcare except through Government immunization programs, church groups, their family, or a go fund me campaign.
By the way, it is ok for poor people to not have the things that wealthier people have. It is called incentive for being willing to improve oneself, work harder, smarter, and contribute to our society.
Our current system is designed by politicians who look to garner votes and power through social programs while simultaneously benefiting from industry political contributions.
Think for yourself, hold yourself accountable, and never allow a third party take away your right to make your own decisions, especially when they either do not directly affect another or there are defined benefits associated with either a affirmative action or a negative action.