Which doesn't really have anything to do with protestantism, though.

To give an armchair diagnosis of the American condition from the psychological/theological POV, it's Calvinist focus on predetermination combined with not understanding the "lazy argument" as the Stoics call it: The universe is deterministic thus things are predetermined, so the Stoics say, and then detractors say "if it is predetermined whether I live or die, it doesn't matter whether I go to the doctor". "Bullshit", say the Stoics, "the proper argument goes like this: If it's ordained by the fates that you live, you will go to the doctor, if it is ordained that you die, you won't". If that argument now convinces you that you can "change" your fate by going to the doctor, then the fates always intended you to be swayed by it. But in any case: Actions matter. The fates won't bend physics to accommodate you not wanting to go to the doctor, their machinations are weaved into, indeed are, the very laws of the universe.

That is, as far as this kind of doctrine is concerned seeing an addict and saying "this is one who does no work, he's not one who will reach the heavens, he can be discarded" only means that you, yourself, are not doing the work demanded of a Christian, as you do not know whether even a simple kind word might not change their life for the better, and you were there, and you said nothing, and you will be judged by god for judging without qualification, and the addict will be judged by god, and god will see that the addict has done their part of the work, and they will go to heaven.

(Not Christian btw I just like to preach the real stuff to people who pretend they are)