Why is it not integrity to use the system to maximize the benefit to myself? Insurance carriers and the medical-industrial complex are notoriously byzantine, and so if anyone can navigate those waters and improve their outcomes, and extract the maximum value of care for themselves, then I think that is exactly what one should be expected to do within the bounds of the system they are given. There is nothing dishonest or "gaming" about it.

When you lie about medical conditions, that is not acting with integrity. If you believe that lying to achieve maximum personal outcomes is, in fact, acting with integrity, then our definition of integrity is vastly different.

It was termed "gaming" and not "lying". Where are you seeing lies?

You acknowledge the need for social programs and back the concept of them, but in practice vote against them because people game the system?

Why not design a system that isn’t susceptible to gaming and doesn’t rely on all people acting with integrity and instead embraces that people will act in their own best interest even if it results in long term worse outcomes overall?

Things like universal health care and universal basic income provide a flat benefit to all, so gaming the system doesn’t give an unfair advantage to some.