I reckon I'm trying to think about the dependency graph of necessity. I suspect you are too.

A monetary economy has productive sectors and non-productive sectors. Most healthcare is non-productive from the point of view of an economy. Healthcare for workers and future workers is economically productive (from an economy's point-of-view). Maybe my conceptual cleaving is poor (black n white binary splits are usually misleading).

Of course ultimately most of what an economy delivers to us individually is monetarily uneconomic (is art or entertainment necessary?). Me confused.

Now I feel bad that I've wandered off into philosophy (which I usually find interesting but non-useful).