Ooo, I want to play! I don't have my Oxford English Dictionary handy so I'll just use this online dictionary here. I mean, what's the difference, right? Okay, Urban Dictionary states:
1.product
drugs i.e. cocaine or weed
hay man da product jus came in today, lets go scoop it up.
1.Service
To fuck.
From the 'The Talented Mr Ripley':
Dick Greenleaf (Jude Law) on a boat trip: "Marge needs a service" - winks at his mates and proceeds below deck and give his sulky bird a good seeing to.
So is health care a product or a service? Well, health care often involves drugs so it could be a product, but with this current bill it sounds like we're all getting fucked so it could be a service. Hard to say so I'm going with both.