I understand you are libertarian and believe only in consent, i don't need that explained to me again. I'm talking about actual concrete next steps on a concrete situation (healthcare), not "imagine you could rebuild the entire world in an ideal fashion". Thats the question I really want you to answer.
More along the lines of the philosophical (but less important, pointless) debate - Consent is not so clear as you think it is. Why should I consent to your single-minded focus on consent as the only valid principle of organizing society overriding all other concerns of practicality? What if I view that as an imposition of your virtues on mine?
I strongly disagree that it's pointless to have an underlying philosophy that decisions are based on, quite the opposite in fact. I would say that having a consistent philosophy or set of principles is the most important thing when making any sort of decisions, especially in the administration of complex systems such as society.
To answer your second (very valid) question, the underlying assumption is that we are all more or less equal, and therefore neither of us has a right to impose anything on the other. The question I've asked that you've not answered is what is the source of your authority to decide what virtues I should live by? I'm not saying you have to live by mine, just that you lack the moral authority to make me live by yours.
The fact that I'm asking for a source of authority is just a fancy way of saying "why do you think you can impose on me and not expect me to resist with violence and subversion?"
Yes I agree wholeheartedly. We should not take anything for granted, and perceive any improvements to our quality of life as things to be grateful for, not entitled to. We are all born naked and hungry. Everything we receive afterwards we get from other people, people who are not obligated to give us anything.
All of your examples of being forced into chains at gunpoint oppose the fundamental principle I'm advocating for: consent. Just because someone has something (say indoor heating), it doesn't entitle you to have the same thing. Just because others live comfortably, it doesn't mean you should as well. Just because you define "progress" a certain way, it doesn't give you the right to impose that definition on me, does it?
> Yes, it is a virtue to be self sufficient. Charity and empathy are also virtues.
Yes! Where we disagree is whether these virtues should be voluntary or compulsive. For all of history until recently, they were voluntary. We have NGOs and other organizations which operate on this model of voluntary charity. This is the only model that's ethical. What gives you the right to impose your virtues on others?