For what it is worth, if you read the constitution of the USSR you see, that even they didn't call themselves communist (as in a classless stateless society, which properly is what it is), but rather there was a sort of hair brained idea, that by attempting public ownership over everything, in an economy that even still had market elements, they would somehow bring about this mythical idea of communism.
Just because a Communist party runs something, doesn't make it communist. The communist party of China for example is one of the most pro capitalist groups I have heard of in some time. Likewise the Communist Party of the United States, has a very different outlook than them. Names are meaningless is what I am saying basically.
In any case as to the actual question at hand, I suppose I don't really care so much. I mean on the grand scheme the money I will spend on my well being is a tiny drop in the bucket of the waste of consumerism. I mean people buy Ipads, Lamborghinis, Fast food, and Cruise missles with their tax dollars. When you look at it like that, telling people they don't need medical treatment because people are starving is pretty asinine.