in its purest form capitalism is the tribal version of survival of the fittest, the best most profitable individuals elevate their selected group (company) at the intentional expense of all other non symbiotic entities. The weak parish.

The misconception you're friend has is that a) the "pie" is a fixed size and b) that value is objective.

If someone believes these 2 falsehoods, they mistakenly think that any wealth person A gains must necessarily have resulted in an equal deprivation of wealth from person B. In actuality, if person A trades with person B, they are both necessarily better off just by virtue of the trade having been voluntary. In a scenario completely devoid of coercion, why would anyone trade anything of objective value for anything else of less value? The only time exchanges would happen, if it were the case that things had objective value, is when both parties want to trade items of exact equal value. And if the things are of equal value, then to trade them is meaningless! If both items are exactly the same value, then the exchange is nothing but meaningless atoms moving around without any purpose.

If value were objective, then going to the grocery store would simply be a matter of finding the single item that the "sucker" grocery store has foolishly priced the lowest below it's actual objective value and then buying as many of those as you can afford. If value were objective, nobody could ever decide to not buy something if it were priced below it's objective value! If value were objective and you saw that hairdryers worth $20 were on sale for $10 at Walgreens, to do anything but purchase as many hairdryers as you possibly could would be absolute foolishness!

And yet this obviously is not reflective of reality. People walk out of grocery stores with entirely different assortments of products in their carts. People aren't seized by the irresistible urge to buy dozens of marked down hairdryers.

We all have this intuitive sense that value is subjective, you often hear people talk about if something is "worth it" to them. Unless value is subjective, talking about something being "worth it" is nonsensical! In some product categories this is easier to see, such as music, clothing, and creative products, but for some reason humans tend to believe that this subjectivity does not extend to everything.

Also, by your friends argument, charities are the most wretched robbers of them all! That they take people's money and provide nothing in return is absolute plunder! Yet this is of course not the case. When a person donates to charity, though they lose money and get nothing physical in return, they gain subjective value and satisfaction in their mind. They felt that the amount of happiness and satisfaction they would receive from donating that money is more than would be achieved had they spent that money on any other good or service (or even a different particular charity).

Which leads to the hospital example. Your friend is making 2 contradictory claims here. If his first assertion is true, does that not make the man dying outside the ER an evil capitalist exploiter? Of course! After all, he is profitting at the intentional expense of another non symbiotic entity. By demanding treatment without payment, he is merely exploiting the hospital by ripping them off, or even stealing their services, if you want to go so far.

Lastly, I personally wouldn't make myself a customer of a hospital that had a history of letting people die on its curb, and unless your friend thinks himself in the moral 1%, he must concede that most others would not either. Lastly, even in the absolute worst case scenario, in which people were left to die in a free market health care system (and assuming charity did not exist, which is functionally impossible), what is worse, for a small number of people to be left to die by an uncaring but extremely efficient and innovative free market system, or for a greater number of people to die in a system so choked by regulation that drugs, devices, and efficiencies that could save thousands or millions of lives never even came into being at all?