We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
Preventive care is expensive, and has a very low yield. Things like mammograms do not exist because they are cost-effective: they exist because people want them.
They also exist because doctors rightly fear juries who are empowered to equate a decision to forgo available care as being a lack of competence, and punish accordingly.
I think it matters to separate "healthy living" from "preventive care" from "early screening". These are linked but distinct concepts.
Healthy living will make most people feel more vigorous and energetic for longer. This is primarily a matter of choice. Reasonable diet, reasonable exercise, fulfilling activities and relationships. No government or even medical elements.
Preventive care would be things like Lipitor and high-blood-pressure medication, I guess. Medical interventions designed to prevent the predictable onset of a health problem or to reduce its impact.
Early screening would be things like mammograms and PSA testing. They don't prevent or treat anything, but they increase the odds of spotting something while it is treatable. This can be a two-edged sword: a person may be diagnosed with cancer at a severe stage with small chance of recovery, but the health service team may press for agressive treatment that isn't truly in the patient's best interest. Or Demo-care may deny treatment that's truly in the patient's best interest.
The death rate runs, historically, one per person by age 120 and nearly one per person by age 100. There are reasons for stiff-arming the death angel and there are reasons for taking her arm and going quietly with her. Preventive care may change when the death angel comes and what guise she takes. Come she surely will.