ANNALS OF LIBERTARIANISM. Talking about the Giuliani health care plan, Megan McArdle argues that "As a class, the old and sick are already luckier than the young and healthy":

Moreover, as a class, the old and sick have some culpability in their ill health. They didn't eat right or excercise; they smoked; they didn't go to the doctor as often as they ought; they drank to much, or took drugs, or sped, or engaged in dangerous sports. Again, in individual cases this will not be true; but as a class, the old and sick bear some of the responsibility for their own ill health, while younger, healthier people have almost no causal role in the ill-health of others.

Perhaps they deserve it by virtue of suffering? But again, most of them are suffering because they have gotten old, often in high style...

Try to imagine this woman on a lifeboat.