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Society, maybe just empathy. A large percentage of the populace simply doesn’t care about anyone other than themselves.
There's certainly some of that, but I don't think it's as widespread as you think. I think the base problem is actually a breakdown in social trust.
Not everyone can be a doctor, or economist, or scientist. So we rely on experts to tell us what's up. The trust in the very idea of expertise has been eroded, in part due to legitimate fuckups by top officials, in part due to a rise in "Facebook experts" and conspiracy theories, and in part due to a concerted effort by conservatives to destroy that trust for their own gain.
Basically, these aren't people thinking "I don't care if these kids die." These are people thinking, "The medical establishment is full of liars and thieves, so these so called vaccines don't even work."
To piggy back on what you said, the distrust comes from the money. If you ask any of them they think the money leads other places. Which it does. So it just reinforces the distrust because we all know that there is funky healthcare costs. That insurance companies charge 500 dollars for an aspirin and they get it with medical billing.