Comment by hombre_fatal

There is a difference between technology and addiction, healthcare has never given a free lunch, it always came with this cost.

How about the following amended version: imagine healthcare can only treat people for an affliction if it ALSO treats the same person by gene-editing the same affliction away? or would you still support treatments for people when no gene-editing solution is known?

Suppose patients seek treatment but refuse gene-editing, should they be granted access to treatment? If they accept gene editing, how do we determine what a healthy genome looks like?

There is a hidden assumption in what you propose, you propose implicitly that the fitness function that implicitly scores us is analytically available to us. But we don't have access to this expression. Allow me to give a more clear example:

Sickle cell anemia: we understand which mutations result in it, and we could genetically modify it away as a disease.

But nature explores and tallies all explored options and constantly reweighs them. Nobody has a crystal ball predicting the future: perhaps global warming could result in malaria affecting the whole world, and in that case its the Sickle cell anemia afflicted that have an advantage, the same condition that gives them their medical complaints is the same condition that increases their resilience against malaria. If it didn't have any advantage ever it would be strange for those mutations to survive systematically in malaria mosquito regions...

We don't have access to the implicit fitness function, we can only explore it through living it. If we did have access to this implicit fitness function we could perform gradient descent on a computer, and egalitarian healtcare without negative consequences for future generation fitness would be achievable. But show me this manual of the universe, and the exact page where the fitness expression is explicitly given!

Without access to the actual fitness function, it's just cultural aesthetics: in the West today slender female figures, in the past or elsewhere its more plump female figures. Without access to a fitness function, it just becomes a subjective beauty contest, and we might eliminate Sickle cell anemia, and doom that whole population into the hands of malaria. Healthcare is effectively Nazi eugenics with a facelift (and they rely on unethical Nazi experiment data).