1) the laudable goal of providing quality medical care for everyone
2) the growing acceptance of the use of government force to achieve that goal
In our compassionate desire to help the less fortunate, we have progressively abandoned private, voluntary charitable action in exchange for the expansion of the welfare state through coercive wealth redistribution.
But employing an immoral means (the initiation of force) to achieve an end completely nullifies any potential benefits, no matter what the intention.
Attempting to provide medical care for others through force instead of through voluntary means destroys the very beneficence which is claimed as its justification.
The presence of consent or coercion defines the moral status of all human intercourse.
Without consent, "making love" becomes rape, and "caring for others" entails enslavement.