Unless I missed something, all but the poorest in this country pay taxes, so everyone is carrying the load for single-payer health care. As for the top 5-10% of taxpayers, they often feel like they're "carrying the load" for everyone else because they think themselves far too exquisite to take advantage of the health care their taxes are paying for and also pay for extra private insurance so they can go to silk-stocking doctors and hospitals. Stupid beyond belief and cheap snobbery on top of it.