"Social services and safety nets aren't about coddling the lazy..."
Except they are.
"...even the richest, most self-centered elitist in the country will save a ton of money with single payer..."
Except they won't. Worse, such a system will dismantle the cutting edge medical system we have in place today.
Welfare programs don't increase the middle class, they contract it. Worse, they lead people to abdicate responsibility for their own happiness and well-being -- believing that the government will ultimately provide for them. See also people on roofs during Katrina.