{ 1 } - have a debt to the common good in proportion to the wealth they have received from it.
{ 2 } - are the first on whom the social responsibility of health care falls.
{ 3 } - have made their wealth simply by their own efforts.
{ 4 } - could be wealthy independently of the society of which they are a part.

No, the social responsibility falls first on the health care professionals, and the primary individual responsibility for health care falls on the individual.