PS: Yes, its a deeply broken system- and its also on the point where the well-off blue blooded caste starts to blame the lower-classes for the misery inflicted upon them again- aka, if you are of low blood, you are obviously lazy because you spend so much time in bed being sick. Ideology can be a very effective tool to deactivate compassion.

So the perfect nothing is allowed to block the imperfect something, because we wait for humans to transcend to angelic beeings?

I’m inclined to believe that the status quo is actually better than mass human experimentation on the poor.

Yeah, not doing human testing on poor folks without a choice is really "angelic" and "perfect". Very high bar to set, how could we possibly achieve such high standards of morality?

That’s essentially a non-choice. Also data of self-administration is probably worthless.

Step 1: Create economic conditions in which vast numbers of people can’t afford medical care

Step 2: Offer them the “choice” of possibly receiving care by being medical guinea pigs for those who created the situation that deprived them of medical care in the first place.

A coerced choice is a not a free choice.

A non-help, because waiting for the idealized version of help - is still less worth than a "could-help" but under coercing economic conditions. A feel-good ideological purity is less preferable outcome then a tainted Samaritan.

If it wasn't clear, my belief is that it would end up doing more harm than good, and that the status quo is the least-harm scenario between the two.