The main thing I take away from this rant is his resentment that he is expected to be part of the workforce and contribute to society in order to take something back from it.
If one notices the primitives obsessed with medical care, one also notices they tend to be in their late 50s, early 60s, and have alleged various ailments in the past; ailments that can be directly linked with "life-style" "choices."
It's time to pay the piper, and the primitives don't want to pay the piper; they want someone else to.
In addition to that, one sees the primitives clinging, desperately, to some sort of vague notion that with "free medical care for all," we all will live forever. The primitives don't want to die.
That's to be expected of a subspecies who cling to this notion that "this" is all there is, and once one dies, there's nothing else. The primitives are cold-sweating about this, that they'll some day simply evaporate into nothingness.
I have no idea what happens when one dies, even though by the time I was 22 years old, I already had more than enough close, personal second-hand experiences with it. But since reality is Infinite, and the human mind finite, what is finite cannot possibly comprehend that which is Infinite. I rather strongly suspect, though, that when one dies, he doesn't evaporate into nothingness, as the primitives seem to believe.
The primitives don't want to die.
It's a healthy, natural, wholesome thing to not want to die, of course.
But these are primitives, whose thought-processes are severely deformed and deficient.
Death is inevitable; sooner or later, it comes.
One hopes it doesn't come too soon, but it comes.
But the primitives, refusing to calmly accept a blunt fact of life (death), desperately cling to some sort of notion that if enough money were poured into medicine and technology, they can be primitives forever, in this world.
I think that's what it is; the primitives' wasted lives are started to haunt them.