All of those people who scream “Yeah, let the uninsured die” or who lash in anger against the unemployed are simply terrified of finding themselves in the same situation. They dump on the uninsured and the unemployed in a sad attempt to pretend that distancing themselves verbally from such people will somehow help them escape from the danger of finding themselves in the same place.
“I’m not like them!” they are trying to tell the world. “I’m not one of those lazy, irresponsible layabouts. Please, please, don’t let these bad things happen to me.”
This is why it makes no sense to talk about the current American fascination with Libertarianism in political or economic terms. This phenomenon is purely psychological in nature.