I agree that many abuse the medical system. At least here in Oregon those on public assistance have fairly good care in most cases, those that get screwed are the poor who try to be self sufficient, those who get up every day and work long hours at low paying jobs, I have people in my neighborhood who work 3 part time jobs (over 70 hours per week) and have no health insurance (many companies only provide healthcare for full time employees, so they don't hire full time employees) they also have the added benefit of no overtime pay since they don't go over 40 hours for any one employer. These are the people who fall through the cracks, they aren't lazy, they aren't looking for a handout, they just want a job where they can earn a living wage and they bust their bellybutton every day to try to provide for their families, and they fall short and so does our public assistance. These people can't get help (they make too much money. is there such a thing?) the women who's only job is a bar-fly/baby factory who trades her foodstamps for cigarettes can get all the free health care she wants (free dental too, better healthcare than my insurance buys actually) but the working poor get screwed by democrats and republicans alike.
Apathy
(er, well not so much apathetic on this issue)