I think they've operated for so long on the 'golden rule' (them with the gold, rules) that they really just don't 'get it'. I mean really. It's not that they 'know' but decide to do the other thing, they really, really feel that they are entitled to do whatever they want without question, or that money/influence is 100% of what you need to make things 'disappear'.
Trump's I did/I didn't/I did/I never said I did but maybe I did is an example. It's because firstly he feels entitled to lie with impunity because we are 'lesser beings' and secondly because he is so used to being 'yessed' that he can't grasp that he is being told 'no' or 'prove it'.
And since he's stacked his Administration with little copies of himself, no wonder it's all lies and chaos.
And no wonder the savvy GOP legislators see this as their 'main chance' to push through their nasty agenda.
And of course, who suffers? Those who can least afford to suffer, of course. Because they 'don't matter'. They are 'other'. Not simply religion/race 'other', but economic 'other'.
DH and I apparently will benefit by this horrible Senate bill. It's going to give us a tax credit of around $5000.00-$8000.00 based on the health insurance premiums (pay first, get a credit on your taxes). Sure, it's nice but We don't need it. We can afford our premiums (for now!). My low income cousin will lose her ACA subsidy and have to pay the full premiums. In return she'll be eligible for a 'tax credit' of a much lower amount to 'credit her' for health insurance premiums paid. Premiums that she will not be able to afford to pay on a monthly basis. A 'credit' does not increase your monthly net income, it just reduces your tax bill. She will become one of the working uninsured.
And if they cut Medicaid as they propose, you will see the number of deaths in low income people, children, and the disabled skyrocket. It's not just inhuman, it's eugenics.