You say, "40,000 people die each year," that these deaths are preventable, the way to prevent them is a government monopoly in health care, and therefore disagreement is either selfishness or misanthropy.

Let's assume your numbers are accurate, just for the sake of argument, and that there is no cause for these deaths beyond medical access restrictions due to costs.

First, I do not say the status quo is good. I have repeatedly pointed out that the status quo is the destructive consequence of political plunder and corporate collusion in oposition the market process. You refuse to grasp this very important and very real distinction.

Second, there is ample evidence that market processes do reduce costs right now. Want links to clinics and doctors discussing the matter? Prescription medications, checkups, and even outpatient surgery costs plummet when the bureaucratoc bloat is lifted even with all the collusion in the background. We also have historical evidence of.voluntary solutions including doctors setting aside pro bono time, mutual aid societies funding health care pools, and charitable organizations.

Third, you have not addressed the economic calculation problem of governments and monopolies. It is real. You can't hand-wave it away.

Fourth, you started by saying ancaps are fake anarchists, and now you are defending a government monopoly funded by extortion while trying to claim the moral high ground? Why should I want to place one of the most important services for my well-being under the total control of the liars, thieves, and crooks in government?

Fifth, it is dirty pool to attack the person instead of their arguments. You continue to attack your perception of my motivations instead of addressing anything I have actually written.