America is a big place. It is unwise to presume you know all of it.
In my part of it, most of us think letting people die of privation due to misfortune and societal factors outside their control in such a wealthy society is cruel and foolish (read history to understand why it is foolish). In my part of America, most of us also think letting random individuals own weapons constructed purposely for killing multiple humans quickly is absolutely insane.
YMMV
We don't need to create a social safety net at the federal level. Prove that the idea works at the state level before you trying to scale half-baked ideas to the whole country.
I think that's covered under his "something very wrong with us".
Suppose that every year the federal government gave each family a baked goose to celebrate our acquisition of colonies via the Spanish-American War. You can think this is an offensive celebration or a crazy waste of money, but why not accept the goose when it is delivered? It's still a tasty meal, even if you think it shouldn't be given out.
That is what is going on. It's not hypocrisy, hate, or inconsistent principles.
What matters is voting consistent with principles even if they aren't in your best interest.
For instance, should you vote to abolish police and courts, so you don't have to pay taxes for them? In the short term, that would net you more money. In the long term, it would mean you'll be living in a lawless wasteland and someone will rob and murder you.
In short, don't assume that most people share your basic values or worldview. You might be living in a place where they simply don't.