Where I spent most of my childhood, there were no roads for a few miles, no garbage collection, no fire department, and while the area was nominally in the juri

Where I spent most of my childhood, there were no roads for a few miles, no garbage collection, no fire department, and while the area was nominally in the jurisdiction of the Alaska State Troopers, it would have taken at least an hour for an officer to respond. Of course, a total lack of infrastructure would be less than comfortable in a modern city, it's entirely possible to live comfortably without such conveniences. As for health insurance, the claim that it is necessary is absurd. One could make a much more reasonable claim than health care is necessary, but the question of the specific mechanism by which it is paid for is orthogonal to whether it should be considered a necessity in a modern society.