Well surely that would depend on whether their 'work products' were designed to encourage evil traits in those that are influenced by them.
Rand did far more than get a refund out of Medicaire, she benefitted from the 'insurance' aspect, where risk is shared collectively, and those that suffer the insured risk get back more than the premium, left purely to her own resources, as she advocated for others, she would likely have been bankrupted:
“She was coming to a point in her life where she was going to receive the very thing she didn’t like, which was Medicare and Social Security,” Pryor ( a social worker tasked with caring for Rand, anyone else find that ironic? PJ) told McConnell. “I remember telling her that this was going to be difficult. For me to do my job she had to recognize that there were exceptions to her theory. So that started our political discussions. From there on – with gusto – we argued all the time.
The initial argument was on greed,” Pryor continued. “She had to see that there was such a thing as greed in this world. Doctors could cost an awful lot more money than books earn, and she could be totally wiped out by medical bills if she didn’t watch it. Since she had worked her entire life, and had paid into Social Security, she had a right to it. She didn’t feel that an individual should take help.
The initial argument was on greed,” Pryor continued. “She had to see that there was such a thing as greed in this world. Doctors could cost an awful lot more money than books earn, and she could be totally wiped out by medical bills if she didn’t watch it. Since she had worked her entire life, and had paid into Social Security, she had a right to it. She didn’t feel that an individual should take help.
Source: Oral History of Ayn Rand.
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