People don't want to be taken care of if they're sick or injured? They'd rather be backfired or dead because of an accident? Unless if they participate in the American employment cabal?

Please. People want to be taken care of. America was built by people escaping famine and people escaping poor living/working conditions.

In other words, it was built by people trying to make a better living for themselves. Living or dying by your success or failure wasn't a desirable feature, it was an incidental side effect of colonizing a new land.