Access to health care - a right or privilege?

I believe that as long you are a citizen of whatever country you live in and you make an actual effort to provide a living for you and your family, then access to health care is a right. This way the government or state would be able to use the money we shell out on health care to improve the health care system, especially for our elderly. I understand that some have a hard time making ends meet and can't afford health care, but if everyone that worked would pay their health care taxes then the other citizens of the country would be able to be taken care of better. Cheating the system just makes for more problems and headaches, and if our ultimate goal is to take care of the countries citizens be providing good quality health care then everyone should be made to comply. Not just the ones that have to.