Government spending is always a “tax” burden on the American people and is never equally or fairly distributed. The poor and low-middle income workers always suffer the most from the deceitful tax of inflation and borrowing.
If you drink too much, you go out and you harm to somebody, you have to suffer the consequences. Same way with health matters. You don't have the right to demand that someone else take care of you because of your habits.
I had the privilege of practicing medicine in the early '60s, before we had any government. It worked rather well, and there was nobody on the street suffering with no medical care.