Yeah, I think it’s a combination of those puritanical ideals and “rugged individualism” where if bad things happen to you you probably deserve it, and it’s up to you to fix it. Like how America spends as much on government healthcare as most other developed countries, and yet that only covers Medicare and Medicaid, and then have to get private insurance on top of that, because not helping others who can’t help themselves is more important than making your own life better.