In hierarchies, the top does not expect to live by the same rules that they inflict on lower groups. The top believes themselves to be superior, so they deserve more of whatever is desired.
True with health care. Republican congress members want to keep the popular parts of Obamacare for themselves and their staffs, but not for the general public of the United States. Congress persons and their staffs are a protected class.
https://www.vox.com/2017/4/25/15429982/gop-exemption-ahca-amendment?utm_campaign=vox&utm_content=entry&utm_medium=social&utm_source=facebook