Goldberg is correct in pointing out that lifestyle choices are the major driver of health problems in this country. Health insurance and medical care should be a backup for those unavoidable illnesses and accidents that occur. The vast majority of Americans would be better served by eating well, exercising and avoiding alchohol, tobacco...  But  Goldberg isn't advocating for investing in making those changes a priority for society. Most Americans eat a junk diet and are overweight/obese leading to lot's of medical issues requiring lot's of medical care. A massive government effort to improve the overall health of American's would cut severely into the bottom line of the food industry and the healthcare industry(outside of a few select areas). It ain't gonna happen.