I dont know whether the bulk of the costs are self-inflicted as so much of the expense comes with aging and in the last few years of people’s lives. But he is speaking a real truth here. Liberal elites simply wont deal with the facts. They refuse to get it.
The medical literature is filled with the evidence, such as low-income women who dont show up for prenatal care even if when it is free. There is widespread disinterest in screenings for all sorts of things from high blood pressure to breast cancer. First prize has to go to people who get organ transplants, dont take their anti-rejection medicine, reject the organ, then want another one.
Despite all this, RATS and even Republicans continue to believe that it’s just about money. The stupidity and ignorance are staggering.
Yeah, that was a major point of contention when I was being considered as a kidney donor. The SIL in question has made quite a few "bad choices" (although the kidney failure itself was not due to any of them, so far as I know). My wife was ready to make it REALLY clear to her sister that if she got my kidney, she was going to take real good care of it!