Perhaps we want to help people with greater needs, and not stick them with higher prices everywhere they go - in part because people with greater needs often have fewer resources.

Every business must pull its weight in contributing to society and make some sacrifices; otherwise society, the economy, your community wouldn't function. Your wife, I, and everyone reading this benefit from the sacrifices others have made over centuries. We are specks of dust on the shoulders of giants, so personally I'm happy and proud to be able to give a little.

> My wife is a doctor. She does not get an extra fee for treating non-English speaking patients

Maybe she should get a smaller fee for treating easier patients, and not only those who are easier to communicate with but those with easier conditions to treat, those who are more agreeable, those who can comprehend medical issues more readily, those who are on time, those who can afford medications, devices, tests, treatments, etc.

Every business has a variety of customers of differing levels of difficulty, and generally charges them all the same; it averages out. Go buy some clothes; if you take more of the salesperson's time, they don't charge you more.