Because the American upper classes feel it’s worth it for them to pay for a large, advanced military and surveillance state, but they don’t think it’s worth it for them to pay for “other people’s healthcare.” They’re not enlightened enough to recognize that we all benefit when we all contribute to the health of the nation. The same is true of education, housing, and other universal necessities. I hope that enlightenment will one day come to the United States, but it’s not looking good.