imagine the most meanspirited, unlikeable, rude, bitter, self centered, negative person you can think of. not a rapist, not a murderer, not an abuser. just a charmless, tactless, dyed in the wool asshole you wouldn't want to spend two seconds with. now assume they get sick, not with the flu, but with a long term, serious illness that limits their ability to provide for themself. a society in which that person is left to die alone because nobody likes them on a personal level is a failed society.
and the thing is, no matter how likeable or charming or cute you are, peoples' patience runs out. the friends who drop everything to rush you to the ER the first time you shit blood tell you to stop being so tmi the fourteenth time. people might give you a couch to crash on the first week after your shitty ex kicks you out, but by week eight, you better have another place to stay. people run out of time, patience, money, compassion, energy. there needs to be an impersonal option, a real safety net that isn't going to dump you when you become inconvenient