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The contractarian argument emphasizes fairness and the idea of a social contract where individuals implicitly agree to certain principles for the benefit of all. In a just society, it can be argued that access to healthcare is a fundamental aspect of this social contract. If individuals are expected to contribute to society, they need to be healthy enough to do so. Denying access to necessary healthcare based on arbitrary factors undermines the very basis of a fair and cooperative society. A system where healthcare access is a right ensures that everyone has a fair chance at health and well-being, reducing bias based on their circumstances. This promotes social stability and mutual benefit, as a healthier population is generally more productive and engaged.

While not the primary justification for healthcare as a right, a utilitarian perspective also lends support. A society where a significant portion of the population lacks access to basic healthcare suffers overall. This leads to preventable illnesses, decreased productivity, increased public health risks, and greater long-term costs. Ensuring access to healthcare for all can maximize overall well-being and minimize suffering within the population. A healthy populace contributes more effectively to the common good.

In essence, framing healthcare as a right acknowledges the intrinsic value of every individual (egalitarian), the need for a fair and just societal framework that benefits all (contractarian), and the overall societal benefits of a healthy population (utilitarian). It moves beyond viewing healthcare as a mere commodity and recognizes it as a fundamental requirement for human flourishing and a just society.