What am I missing: healthcare and trickle down economics.

Here are prominent politicians touting, touting, touting trickle down economics. As a primer, here's what that means from Trumans speech writer:

> The philosophy that had prevailed in Washington since 1921, that the object of government was to provide prosperity for those who lived and worked at the top of the economic pyramid, in the belief that prosperity would trickle down to the bottom of the heap and benefit all.


So give to the wealthiest and they'll spend more and we all win!

And on the other hand, you have the same politicians wanting to do away with the affordable care act. And in doing so make insipid comments like "why should I have to pay for someone else?..."

Isn't it the same freaking thing? What am I missing?