I'm not going to endorse Mangione because I agree with you here. However, I'd argue that denying medication and healthcare to sick people on the basis of paperwork and profits is an act of violence in and of itself - one which makes people expendable as a result of unfettered capitalism. It is this lack of socialist input, the idea that healthcare should be (at least in part) a basic humanitarian effort offered to all citizens at the point of need which isn't debated. Poor people are the selected target because, in the US it seems from the outside at least, being poor = being morally wrong or being stupid. The healthcare providers operate as judge jury and executioner and they enact the will of the people. There is nothing compassionate about the US health system - you all deserve better.