That's exactly it. A decent chunk of the people in the imperial core are just so insulated from these types of hardships that are commonplace in too many places. People hike for days to bring their children to vaccine clinics because they know what happens if you leave your child open to preventable infections.

And then dipshits in the imperial core who don't know anyone who's lost a kid to measles don't vaccinate their kids because they heard that vaccines cause autism.

My father still tells me about his aunt that was an anti-vaxer back in the day. Then she lost her baby son because she chose not to vaccinate him. It was her biggest regret that haunted her till the day she died. Every other child she had was vaccinated and they all grew up happy & healthy.