We have a bunch of people who grew up being told that being poor is a moral failure, and that good healthcare is a privilege not everybody can afford -- therefore, healthcare equals moral endorsement. These are people who need to believe that SOMEBODY is worse, morally, than they are, so they need to see somebody unable to get good healthcare. Then they have somebody to pity while simultaneously saying "There but for the grace of God go I"....and then wipe their hands of it.