How would emergency medical care be provided under ancap? After all, checking for the presence of insurance takes some time, and if a person is unconscious and in critical condition, that time is not available. On the other hand, he would not be obliged to pay for the care, since he did not agree to it.

anonymous question

A person who has not left resource-backed instructions on how to act in the event of their sudden incapacity risks that the actions they would have wanted will not be taken, even if the technical possibility to do so exists.

At the same time, in addition to the service delivery model based on the “use the service, then pay the bill” principle, humanity actively practices another approach: “provide the service, then receive gratitude.” I answer your questions, you send me donations. If you stop doing this, I will not stop answering questions. Similarly, there is no reason to believe that emergency aid will not be paid for in one way or another—if not by the rescued person themselves, then at least by grateful city residents, for whom it is always much more pleasant and easier to reward moral acts than to punish immoral ones.

Yes, it may turn out that the person in need of help has a bad reputation, or that providing help is too costly, or a thousand and one other circumstances that ultimately leave them without that very help. But even then, this story will not be in vain: people will feel awkward that such things happen on their territory, which is a serious incentive to prevent a recurrence and to drop a few satoshis into the city emergency fund.

After all, when you let an ambulance pass on the road, you are also donating—even if it’s just a small amount of your convenience, but you do it voluntarily and willingly, right?

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