As a rule, the Do-Gooders see themselves as different from and superior to their clients. The underbelly of that is that we live in a culture where suffering is thought optional. Where having problems is optional. Or, worse, that suffering is God punishing you for being human. One of our helpless vegetable leaders just had a stroke.
Some people say that's a revision of the Puritan ethic.
You know, I'm wealthy and healthy because God loves me. And you're not because you just didn't do it right, and this is what you get for it. It's a very dangerous model. Helpers are in a one-up position from those whom they help. A lot of this junk seems to be about being better than someone else.