Here would be my honest answer to the question:
I work hard for the money I earn. Just because I am careful in how I spend my money, doesn't mean I am not charitable!. Not unlike most others who earn there own money with hard, honest, work.

Lets put a figure on the cost of healthcare. It isn't discussed enough and one way or the other the real costs of healthcare care have to be paid. Let's make the problem real, anhd for me government rationed healthcare is NO solution. A brief look on the internet shows per capita spending on healthcare approaching $7000/year. $600/month!
WOW.
Solutions anyone?
A start would be: American's stop eating so much and so much that is bad for you. Good health care starts with good care of your personal health!

More food for thought:
If you ever had an opportunity to spend money you didn't earn, you know what it's like for our politicians when it comes to spending ours!