It makes sense. Many ex-pats retire abroad because they can enjoy comparatively better lifestyle even with limited budget. Their health care would cost lot more in USA compared to other countries too. So its a win-win for both sides.
These people that this lady was speaking of are not “ex-pats” but rather Filipinos who lived here for a time and not all even worked while here but are over 65 and “retired of sorts” but according to the lady, now qualify for Medicare, thanks to Obama!