Not just rich. Works better for basically everyone but the poor. A greater majority lives a better life because of it. Sucks for the poor yes, but you can either take care of them or not. I know it sounds cold hearted but that's life. Someone has to pay for it. It's not possible for there not to be poor people no matter how much you'd like it. Someone has to be on the bottom. The US tries to keep that percentage at an acceptable level.
I went to school, held a few jobs while there, paid for all my training and am where I'm at with no help from our government. I'm fully covered for my health care and have a great life in comparison. I don't believe in a handout. I don't believe because someone couldn't use a condom I'm required to pay for their kids. There's a reason I've made the financial decisions I've made. There's a reason I don't have a family. Because I can't afford one yet. If others can't show the same discipline I have why should I be the one that's punished? I'm a hard working, career driven, goal minded American. I don't want to spend a sizable chunk of my money on people who didn't feel like succeeding. Who wanted to get high and be lazy or have sex all they could without thinking of consequences. I've worked for what I have. Why should someone else be entitled to the same things I am? Do I deserve better levels of health care? You bet your ass. If I can only afford the cheap package of cable then I don't expect to get HBO. If I got HBO anyway then where would the incentive be to pay more?
Classic elitist answer. The problem with your agument against having a social clue is that you label poverty as the result of moral choices. In essence, you're poor due to moral flaws (you're lazy, uninterested, generally corrupt). Get off your high horse.
As to the argument of having the need for poor people in a capitalist society, at least you acknowledge that much. The difference is that some of us are OK with raising the bottom at the expense of the cusp of the pyramid, rather than securing the cusp of the pyramid by keeping the bottom low i.e. voting against your economic interest.
As to your sense of hard work, want a cookie? I worked hard too, the problem with your argument is that you put healthcare and premium cable subscriptions in the same category. That just makes you an pseudo-elitist (since you actually are not benefiting from the bourgeousie's wealth, equally). You don't deserve a better level of health care because you're not poor, but since you tie economic status with morality then it makes sense to you to "punish" those sub-human poor people who don't deserve that MRI, or at least are effectively priced out from receiveing one. And here's another flaw with your argument. Your mere definition of "poor" is flawed as heck. You describe the standard project poor person, having kids with no ability to educate them and getting food stamps. Nowhere in your argument do you touch the working poor, i.e. the dwindling middle class. Yeah, those people who share your OWN sense of work ethic and yet have been unable to secure a living wage for their families. Of course you automatically push the morality clause on their poverty too via the "well don't have kids". You're essentially advocating social engineering at this point (only the rich lines will procreate).
As a product of a catholic household I grew quite aware to a fact that seems to have even more relevance today. You're SUPPOSED to not be a f$ck up. That was the standard, you don't get brownie points for it, and I never did. So by that measure I'm not going to start declaring, like you do, that some people just don't deserve "health care of the same quality", which in america essentially translates to no health care at all, just because I went to school and didn't go to jail in the process. Have a better sense of community and put down the reagan biography if you think you are as patriotic as supporting reaganaomics you think makes you. Or better yet, walk over the nearest recruiter and join up and see how that alters the colors on your glasses. But I bet you won't touch those who join up due to economic hardship, that wouldn't work out so well politically for your argument, even though they fit your criteria of morally bankrupt hence poor right? But since they're getting shot for ya, I guess that pardons whatever moral flaws they had that made them poor to begin with right? holes holes holes my friend.