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How is this civilization?

How does this attempt to replicate His presence, to affect the requirements He places on those who have been given much?

It is we as a people who decide how we will provide needed care for fellow man, an individual refusing to help the needy is no different from the one you perceive as lazy.

Your position allows the ones who appear lazy from their disenfranchisement to starve, and do without care, as punishment, against His teachings, apparently because we as a people do not have a right to collect taxes from those who disregard the requirement to provide

Patients see doctors, doctors treat them and send a bill

This doesn’t change significantly because the bill goes to the government, or because the bill is in the form of data, and most importantly it relieves the physician from the financial burden of providing care to those without means (which is the point)