Warning: The below was written after reading page one, and then discovering a zillion other pages added.
The groupthink thing is actually one reason I think state aid is necessary. In an institutional context (which hospitals are), it's pretty well established folks will follow their orders - even if that's "no pay, no entrance". Plenty of psych experiements around that, as well as the phenomenon you described of bystanders getting more apathetic the more folks are around.
At some point society does become about compromise of personal liberty; civilisation becomes about moderating simply the survival of the fittest.
Now, that can be seen as a detriment; it weakens incentive to excel, removes consequence for failure, and as a whole, over a sustained period, could indeed make society less productive.
It's surely a negative for the strong.
The counterpoint is a society with no regulation or control of the strong at all, where we get warlordism and feudalism.
The debate seems to be over where the productive line for civlisation is drawn; how do we ensure liberty for the pike, without allowing him to eat all the minnows? How do we ensure liberty for the minnows, without completely obviating their desire, or even ,their need, to become stronger and quicker to survive?
I have to say, as a higher rate tax payer who sees a frightening proportion go every year to government I rarely agree with, to be spent on things I am sure are ineptly administered, I still view common education and healthcare as the
basic hallmarks of a civilised society; those things that provide the ability for everyone to make something of themselves, even if not to achieve their full potential.
I do take the point on personal responsibility though. I think, possibly, the cultural gap is we both believe the alternative solutions "don't work", so fall back to what we understand and are comfortable with.
I guess if there was a slam dunk obvious perfect solution there wouldn't be an argument
As for conceptions of rights, they clearly flow from more than *just* might, although that often becomes the deciding factor in implementation and their eventual success. There are moral frameworks that propogate through discussion, agitation, acceptance and implementation without violence though.
I guess, at the end of the day, might becomes a determiner in defending against enforced external moral frameworks, but right now we live in a pretty permeable society where ideas can gain supremacy without significant requirement for brute force imposition.