I'm talking about the people making the decisions about who gets free doctor's visits, not the people on the receiving end.
> We all choose things that are more expensive for society because they are more convenient or less expensive for us - lots of regular activities of what patio11 calls the professional/managerial class have negative externalities that the rest of society pays for: air travel, personal automobiles, and lawns all come immediately to mind.
That doesn't make it ok. Most people have at least some semblance of conscience and try to cut down on those things - of course no-one is perfect, but that doesn't mean we should allow whataboutism to get in the way of good policymaking. (FWIW I'm all for taxing those things at a fair rate that covers the costs of those externalities)
> If you want people to get their medical care from a PCP and their medicine from the pharmacy, then make it cheaper for them.
Sure. But make it cheaper for all of them. I agree that "it's about incentives" - so don't make it so that the incentive is to do the antisocial thing until the system pays you to stop. It should be easy to extrapolate where that leads.