Ayn Rand is not part of my self-interest, so I do not care.
The point about being a hypocrite was that when you think society shouldn't foot the bill, yet unload it onto others because you cannot pay, well...
As for self-interest, it is the reason insurance exists. People who can think further than the tip of their own nose realize that they may not be able to pay a huge bill one day so they share the risk with others. There is no huge necessity for altruism.
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