Every society throughout time has had an aristocracy, a top 1%. Even the poorest countries have a luxuriant top few. That is not what distinguishes the greatness of a civilization. It is how we treat the bottom and the middle that makes a Civilization great. Universal public school education does not de-value the educational accomplishments of a Nobel prize winner, yet even this concept in the most affluent countries of universal literacy is only barely 100 years old.
There have been a top few treated well with luxurious food, servants, mansions and massages, but it is the discipline NEVER to mistreat the weak that makes the civilization great. The top people have ALWAYS gotten the best standard of the day in healthcare, but there is something very wrong about people so proud of withholding healthcare from vulnerable people they actually advertise that their number one public policy goal is to repeal healthcare reform.
First off, they will not succeed,but worse than that, they show the smallness of their souls and the narrow minded, dare I say discusting selfishness of their followers.