William Magear "boss" Tweed is a corrupt representative who defrauds millions of dollars from New Yorkers. He and his peers in the Democratic Party in New York exploit their power in the government for personal gain. As a civil reformer and a cartoonist, Thomas Nast portrays William Tweed as a vulture who preys on New Yorkers.
The answer is Medicare and Medicaid.
Because of the medicare and medicaid, most people believe that there's no longer a need for traditional charity for sick people for need help, because they think all already taken care of by the government. This later on become the motivation for hospitals and drugs companies to increase the price of their products/service