Which brings us back to Dr. Sunderhaus. On one hand, we’re headed toward a totalitarian nanny state whereby your freedoms are constrained for the good of others. But at the exact same time we’ve entered the Era of Hurt Feelings where it’s taboo to tell anyone they’re doing something wrong. The solution proferred by the universal health-care advocates is to expand the circle of responsibility to include all of us. So, rather than insult an individual by telling him or her to get healthy, we all have to pretend we’re all equally in need of self-improvement, and we all endure the restrictions and hardships and costs which by all rights should be reserved exclusively for those who earned them.

The attitude of people like Dr. Sunderhaus perhaps offers a way out of this dilemma. Drop the pretense of decorum. If someone has grown obese eating chocolate, the do-gooders would respond by banning chocolate entirely for all of us — to avoid offending the sensibilities of the individual who abused it. Dr. Sunderhaus would just tell the abuser, “Lady, put down that Hershey bar — you’re too fat!” Horrors, horrors!

But if we had a nation of Dr. Sunderhauses, we wouldn’t need socialized medicine. Because each person, at last, would assume complete individual responsibility. And I’d rather that the doctors do the bullying in private to the people who deserve bullying than me being forced to intervene in other people’s private business myself.

Since it’s nearly impossible to sort out who is personally responsible for which ailments, the only logical solution is to let each person pay for their own care, because that way there’s nothing left to argue about.