Yes they are. Some people don’t vote out of apathy, but others don’t vote as an explicit leftist stance. This has a long history going back at least to the 1800s. It’s a shit stance, but unfortunately pretty popular.

And also, the idea of “choice” is bullshit anyway. People who don’t comply with their doctor’s recommendations generally have reasons for doing so, such as depression, insecurity, and horrible side-effects to medication. Good healthcare finds and addresses those reasons instead of just blaming people for being affected by them.