He's misusing the term. What he means is to sound superior, and although I appreciate his spirit -- the Europeans and Canadians speaking up are doing so outside of the context of and therefore against the spirit of the question -- I think it's fine, it's good to have non-Americans with whom to compare responses.

That is the point of the post. There is something very wrong with this country, isn't there?

I don't have insurance because it's too expensive and the thought crossed my mind this morning that something like that could actually happen to me, and if it did, I honestly have no idea what I would do. And then I realize that the society around me would get angry at me and morally condemn me if I did commit a crime to save my own life, and that's when I finally realized that American morality is a fucking sham. It's all designed to convince its subjects to accept being enslaved and murdered to keep the system going, and that's wrong. What good is morality if it only costs you and doesn't benefit you?