It turns out Republicans really do believe in survival of the fittest (at least in a political sense), after all.
“We are now contemplating, Heaven save the mark, a bill that would tax the well for the benefit of the ill.”
Although that quote reads like it could be part of the Republican repeal-and-replace assault against the Affordable Care Act (ACA), it's actually from a 1949 editorial in The New York State Journal of Medicine denouncing health insurance itself.