On the other hand, tens of millions of Americans also take the polar opposite stance:

Nobody is responsible for anything. If anyone is in a bad circumstance (health, money, job, housing, debt, drugs, addiction, abortion, sex, crime) it was not their fault; it can't be. It was therefore a failure of the system, and therefore the system needs to fix it. Either they didn't get the proper mental health care they needed, physical health care, or education, or <insert system failure>.