The whole idea of insurance is to insure against catastrophes: You buy insurance in case your house burns down -- not so you can force other people in your plan to pay for your maid. You buy car insurance in case you're in a major accident, not so everyone in the plan shares the cost of gas.
Just as people use vastly different amounts of gasoline, they also use vastly different amounts of medical care -- especially when an appointment with a highly trained physician costs less than a manicure.
Insurance plans that force everyone in the plan to pay for everyone else's Viagra and anti-anxiety pills are already completely unfair to people who rarely go to the doctor. It's like being forced to share gas bills with a long-haul trucker or a restaurant bill with Michael Moore. On the other hand, it's a great deal for any lonely hypochondriacs in the plan.
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