I don't see how these two things are incompatible, social leaders can preach individual responsibility and positive social values while also supporting government safety nets and investment. Obama presided over largest expansion of health insurance of any president since LBJ.
I also don't think the description on the right of coal towns is accurate. Yes some politicians pander that way, but the lowest male life expectancy in America is in West Virginia coal towns. Government hasn't done anything of significance for those people.
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