A good question from Wolf Blitzer to Ron Paul that you can see at YouTube here. Suppose a healthy 30 year old guy takes a risk and says he's going to go without health insurance. The worst is realized and he's in a coma. Should the government pay or should we let him die?
Paul struggles here. The ideologues in the audience (notice at about the 50 second mark) say sure, let him die. It's easy to talk that way when you are anonymous. That's the kind of thing someone might say in a blog comment stream. But say that on the record in front of millions of people. It's pretty grotesque. Paul knows that so he doesn't say it. He stammers for a bit, then finally comes up with the "charities" solution. Let private charities resolve it. He's never seen anyone that needed care turned away.
But they are already turned away and that's with some government support. With no government support even more will be turned away. Paul does not have a solution here other than the ideological one. Let him die. But I think that violates basic moral sensibilities for too many people, so it's kind of untenable.