The user pays for their services and goods sounds so reasonable and just. But what if you are a student, a caregiver who cannot work because the needs of the one you care for are so great that you must be there for them all the time, or too sick to work full time? Who pays then.
I'm assuming your topic is health care but either way it raises a lot more questions. What if the topic were something else, like maybe car maintenance, or a lawyer, or a home improvement contractor?
Should Someone Else pay my lawyer fees because I'm a carer? What if my lawsuit is a frivolous one intended more to cause my neighbor some hassle than to seek a genuine legal redress for an actual wrong I have suffered?
Should Someone Else pay to have my car serviced because I need that car to provide for my elderly relatives and can't work for myself because I'm looking after them? Should Someone Else pay for my car repairs because I'm a student?
It's easy to look at health care and argue that it can literally be a matter of life or death, but what about the student driving a car that's little more than a deathtrap on bald tires just waiting for something to go horribly wrong at speed? Should Someone Else pay for new tires for them?