Black communities were not hesitant because… other forms of health care cost a lot of money.

This was not the issue with the health care system being pointed out. It’s that the health care system is fine with harming you if it will result in making them money. The opioid epidemic has hit many of these conservative communities hard. It’s not assigning some heroic intentions to them. It’s simple mistrust of something they know doesn’t give a damn about them.