That’s not what I said at all.

Then perhaps you should use your words and explain what you actually mean, lest it be assumed to be ill-informed snark.

Why would I bother arguing with someone who misconstrues what I say?

In a typical conversation, if someone misunderstood you, you wouldn’t give them an angry middle finger, you’d clarify your meaning. But you do you.

I think what he's saying is far more comparable to:

"If you choose to live on an obscure island or corner of alaska unreachable by land, should the government be obligated to keep a doctor living and working nearby you?"

To which I'd then imagine the thought process is more sometimes you'll just have to move to a more urban / developed area if you have a really severe disease, or deal with long drives or getting plane flights.

> If you choose to live on an obscure island or corner of alaska unreachable by land

This is a sort of disingenuous way to talk about rural America. Pine Ridge is two hours from Rapid City, not the middle of nowhere, Alaska, and the discussion isn’t about specialty care, but normal primary care, hospital and Ob/Gyn services.

Saying “suck it you stupid rubes, move to a city” is going to make it difficult to get anyone to agree with your version of healthcare reform, assuming it was even going to work.