It's a distinction with a HUGE difference. You don't spend years working for a nice living in health care at the taxpayer's expense ... and then turn around and complain when Caesar imposes conditions you don't like.
FWIW, the expansion of Medicare and Medicaid significantly reduced the profitability and sustainability in healthcare. I know very few people that consider them a positive influence compared to most who consider them a huge imposition and barrier. They sabotaged the private health insurance industry which has led directly to the cost shifting to patients.
Alright, then I hope YOU don’t turn around and complain when the feds infiltrate themselves into your life and then mandate something against your conscience.