alt Hacker News"The system" isn't setup to make self-destructive, clearly bad decisions. People just choose to make them, and at some point the system can't help them by carrot or stick.
Here's the easiest example: with ACA subsidies the average cost of an ACA plan is $50, with low income people qualifying for plans as low as $10 a month. This will cover basic preventative care like screenings, tests, and vaccines; and importantly caps your OOP maximum, preventing a financial disaster if you have a significant illness.
Despite all that, many people still aren't insured. They aren't insured despite it being massively subsidized for them by taxpayers. They aren't insured despite the government running advertisements throughout open enrollment.
At this point, if you have a complaint about a massive healthcare bill, my very first question is: did you have insurance?
The same ideas apply to college, housing, cars, and health/diet: "the system" gives you a massive range of options, but people consistently choose poorly, shortsightedly, and wastefully. People need to take personal responsibility for their decisions.
If an option then system provides is self-destructive, maybe it should stop providing that option?
Some people don't even have $10 per month spare. Wealth inequality in the USA is extreme. But more importantly: they are busy and stressed. If it's so easy to get health insurance it should either be mandatory and automatic, or it should be a checkbox on your taxes or some other form.
When I paid my student loan it was a matter of just ticking a box on the employment tax declaration that I had a student loan. And then it was automatically taken from my paycheck. It wasn't about the money, but about the ease of use. If I had to send a monthly payment with a paper check I'd surely miss payments.
The phrase "personal responsibility" is a thought-ending cliche used when someone doesn't want to see the big picture. It's like if Microsoft changes Windows 12 to break Valve games and you blame the game because "developer responsibility" or "executable file responsibility" and ignore the bigger picture that Microsoft is trying to drive Valve out of business to move games off Steam and onto the Microsoft Store.