I am not an American by the way. Healthcare where I come from is not considered a luxury but a right or at least one the citizens should have, if they work and pay their taxes their entire lifes. Assuming is the beginning of not understanding, and again, I did not assume where you are from, since it doesn't matter. Luxuries and necessities do not change meaning regardless of where you are, again, you should look it up; it's a universal rule, that, everything that doesn't directly affect your survival are luxuries. And putting words in my mouth is also not the way. I never stated that creators are less deserving of a good life and shouldn't be paid for their work, what I said and I will repeat is ,if you ask for a price in something, no matter what, that is the price people are forced to pay. If you want to give more, like a tip, good, if not, one shouldn't be feel ashamed because he didn't give more.
Make an exercise here, a game is 1$, and I pay 1$, I have no more money at all. Am I forced to feel ashamed because I didn't pay more? Then, another thought experiment; a plumer goes to your house and fixes the toilet, asks you for 50$ and latter on returns to your house because you only paid him what he asked. Do you see what I mean?
Again, no amount of semantics will change this. A price is a price, a tip is a tip.