@bonkmaykr
This image is a bit of an exaggeration of what actually happens. People, I presume, don't literally ask if a person prefers to die; they usually ask if they prefer to go to the hospital in an ambulance or not, which can potentially result in their death if their problem is serious. Either way, this is pointing out how people in America refuse vital medical aid not because they don't want/need it, but because it's too expensive.