At a public meeting last year I unintentionally caused considerable offence to one lady (and maybe others who weren't prepared to say so) when I said, "The poor in this country are the tail wagging the dog." Of course, if you were mindful of everybody's sensitivities nothing would ever be said.
What I wanted to convey is, because some people can't afford to pay we have designed our entire system, with government as the middle man, around that premise. But we should let those who can pay sort out their own requirements and treat the needs of the poor as an entirely separate issue.
Everybody would benefit.