Not a problem. It’s essentially rolled into our taxes for the most part in Canada. You may have health insurance on top of that, but that isn’t a guarantee and usually is a top-up of our universal coverage. This usually covers things like drug prescriptions, glasses, and hospital conveniences such as semi-private or private rooms. I agree with the general idea, though, that we as a group pay for everyone who is covered. My original point at the top of this thread is that removing people’s eligibility simply because of risky behavior can be very tricky and likely harmful to society.
Doing something that demonstrably doesn’t work isn’t how you get what you want. If you want an option besides Democrats and Republicans, voting for someone else where those two options have a lock on winning does nothing besides vent some spleen.
I’m not saying doing nothing is the solution, or even voting for the two main parties is the solution, but doing something that has been shown to be completely ineffective is not the solution.