That is very insightful. You belong to groups - family, friends, co-workers, people at community organizations (church, clubs, HOAs), school (from your kid's grade school to your alma mater), state, and nation. In health care, people (especially the health nuts) like to group into "those that deserve good health for living the lifestyle they do, and those that don't". Those that deserve to pay more because of smoking or for not wearing a seat belt.
Unfortunately that relies on knowledge that we do not have. We can't figure out that the health nut for the 20 years lived in a mining community as a child. Everything you've done and not done plays a critical role in determining your overall health - and not only have we barely scratched the surface of understanding, our understanding sometimes stands at odds (took them 30 years to figure out which part of the egg does what for our bodies). And some eastern beliefs and practices are wholly ignored because of disbelief or pharmaceutical interests.
So we need to stop drawing that line around our yard, or around our workplace, or around smokers and just have universal health care. I know this bill doesn't do that, but it is at least a step, and maybe in another 20 we can take another.