I don't even know how anyone can think like this, but it is a perfect example of the newly normalized "only me, not thee" thinking of the Libertarian Right. Tyler Cowen, the oft-cited economist for right-thinking libertarians, offered a short summary of his vision for health care in this country. Here's his second pillar:
A rejection of health care egalitarianism, namely a recognition that the wealthy will purchase more and better health care than the poor. Trying to equalize health care consumption hurts the poor, since most feasible policies to do this take away cash from the poor, either directly or through the operation of tax incidence. We need to accept the principle that sometimes poor people will die just because they are poor. Some of you don’t like the sound of that, but we already let the wealthy enjoy all sorts of other goods — most importantly status — which lengthen their lives and which the poor enjoy to a much lesser degree. We shouldn’t screw up our health care institutions by being determined to fight inegalitarian principles for one very select set of factors which determine health care outcomes.
How is this any different than cheering for the dead guy in the gutter who didn't have insurance?
This is what a sociopath looks like. In the 19th century, the same principle was expressed when Dickens wrote "Let them die, and decrease the surplus population." Yes, people still believe this, especially those who also claim to be Christians.
[h/t Balloon Juice]