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Some people achieve some sadistic satisfaction from denying poor people health care, even if it cost extra to themselves!?
In USA there is a sentiment that looks like they are trying to exterminate the poor, by letting them suffer and die, instead of trying to build a better more humane society for all.
To me, its much more that the rich don't want to pay for the healthcare of the people who earn all of their money for them, rather than active sadism.
More, devoid of empathy and not really seeing them as fellow humans, deserving of basic rights like not dying of poverty. Especially if it costs them money.
I disagree, when they prevent a system that benefit all including themselves, they are actively acting like sadists who want to see the suffering of those who cannot afford to pay.
Each to their own but, to me, rich people would make far more, personally, with the American system. I 100% get how you came to your conclusion though. I'm not saying sadism wouldn't make sense or anything.