I'll believe it when I actually see it.
I don't know much / anything about the particular crowd being referenced in that meme.
What I do know is my conservative neighbors, conservative family, and so on. These people legitimately and without any shame or self reflection believe that because they did not get "free healthcare" nobody else deserves it. They are unwavering in the belief that they should not have to pay for other people's medical bills. They truly think that anybody getting government healthcare (aside from retirees) is a leach on society and that they cannot afford to keep paying for those people.
I know this because I have conservative neighbors, conservative family members, and so on. And they aren't the least bit afraid to air their opinion on this any chance they get. Now I don't live in Nebraska USA, but I honestly have a hard time believing that conservatives in the midwest are all that different from conservatives on the east coast.