Earlier quoted context omitted.
I've already given a literal life-or-death example above, which didn't involve guns. Strategems in which individuals are denied the very fundamentals of life, food, shelter, work, engagement in civic, social, commercial, or cultural practices, access to courts, institutions, and the like, without overt threats of violence, are far more effective than guns. to fight and conquer in all your battles is not supreme excel…
Your life or death scenario is an edge case with its own special complexities which should not be lumped in with discussions of the vastly voluntary choices we can make. Healthcare is heavily regulated as we all know. This raises the barrier to entry to new competitors, and leads to a less dynamic market where the status quo can last a long long time. So you end up with only 1 or a very small number of medical device…
Let us agree that I can indeed avoid having a Gmail account. Can I realistically avoid sending email to a Gmail user?
Nope.
There are just too many users. Maybe I can avoid sending mail to @gmail.com (though not responding to one will invariably be perceived as incredibly rude), but I cannot avoid having Gmail users send email to me. I cannot realistically notice ahead of time that john.doe@example.com is actually using a Gmail server under the hood, and not send the email. I cannot prevent Gmail users from talking about me.
I can reduce my exposure, but there are limits to what I can reasonably do. Your usage of Gmail is hurting my privacy. Okay, not yours, but definitely half of my friend's. I can't realistically ask them to either stop using Gmail, or stop interacting with me, now can I?
Let us agree that individual choices and individual actions don't work.