Normally I'm pretty good at extending intellectual generosity. But for them, it's at the level of voting for a candidate who supports cuts to Medicaid and then wondering why it's suddenly infinitely harder for me to get through to anyone about assistance (not even for myself, for them) following staffing cuts.

"This isn't what I voted for" is a common utterance. They can't help themselves, so I do my best to help, while they undercut my options to help them.