I oppose it from the Libertarian realm (I voted from the right, because I tend to agree with the right on this issue.)
Survival of the wealthiest?
Survival of the ones who don't feel like they need to depend on a "higher power" to take care of them and essentially hold their hand from cradle to grave.
So, stripping away the rhetoric, yes, survival of the wealthiest?
People are commodities and once commodities become unprofitable they are discarded by the owners. Have to keep up that return on investment