So, I am surprised the Fediverse is not mentioned. Already bigger and better than anything Nostr is trying to do. Why reinvent the wheel? Or why not join the wheel?
There are efforts for people not to be at an unhealthy over weight, to not need social assistance and to not go to the hospital in the first case.
Would you argue that a better comparison would be people choosing to have other efforts being done rather than recieving a blood transfusion? Even if non existent or very expensive?