How horrified should we be?

Maybe it could be considered a 'crime,' of sorts, when we have a society that allows 45,000 people to die needlessly every year. Just because they don't get adequate medical treatment. Often because they don't have adequate insurance. Seems like we take this matter-of-factly. But when 3,000 people are killed in the 9/11 terrorist attack we are horrified, as well we should. But shouldn't we be just as horrified by the death of 45,000 because of an inadequate health care system? --Jim Broede