Macho American "can do" spirit, that Republicans push, doesn't fit the current condition of American's elderly and couch potato public.
The macho American "can do" spirit that so many Republicans like to talk about doesn't really fit the current state of the American people. "Pull yourself up by your own bootstraps" might have been more applicable when the demographics of our population skewed more toward younger people. Now we have more of an elderly population and even a lot of younger people with various disabilities. Positive thinking is still useful, but we need a smarter strategy.