I don’t know if I can behind this idea. If they cared about _not paying twice_ there would be free or affordable health care to lower income folks, helping drive preventative medical care vs waiting on health problems become too big ignore and thus ends up being a larger medical bill, which they can’t afford. So ya I think it’s still about control. Society as a whole is weirdly obsessed with controlling those with less means
Want something unhealthy? Earn it yourself.