For conservatives, of course, there is a reason.
The prospect of an American citizen starving, going without healthcare, or living in squalor acts as an incentive for all to do better. Its the conservative doctrine of fear, the only real motivator.
Fear does seem to be the major right wing motivator.
Just watch the upcoming presidential campaign for further proof of this.
Is that why the left keeps trying to scare seniors every time a realistic approach to reforming medicare is proposed?
Sure, the left were the ones who came up with the "death Panels" term?