I think their issue is everyone getting it. In American culture and Christianity, love must be conditional.

Only correct behaviour would mean you get rewarded/supported.

Their issue isn’t giving it away for free, their issue is not being able to classify certain members of society as a underclass that don’t deserve anything unless they conform to their values.

So it’s about power and control. Universal health care means you have no power over these individuals and what values they live by.