I'm not discussing the people creating policies, but the people supporting them. I'm not discussing implementation of those policies, even, but again, simple support.
I don't expect implementations to correlate with their intention, but I do expect the -intentions- to correlate.
I'm not arguing with an anthropomorphization of the political process or utilitarian philosophy, after all, I'm arguing with real people who have real ideas about how the world should operate. In order to argue effectively, I have to understand what their intentions are - my goal is not merely to prove somebody wrong, it's to change their mind. And starting with the implementation is backwards; you don't navigate from where you were to where you are, you navigate from where you are to where you want to be. First and foremost I need to know where this person wants the world to be.
And in this case, the intentions I can see conflict.
You have to have beliefs about the world and how it works before you can have intentions to change it. I'm sure just about everyone would rather live in a place where no one was killed and everyone has their health cared for. People who oppose "universal healthcare" don't usually want poor people to suffer: they just expect a whole host of problems to come with treating healthcare as a right and not a good. People who want extra-judicial drone assassinations of citizens aren't particularly concerned with the State being empowered who can live or ...
As Multiheaded added, "Personal is Political" stuff like gender relations, etc also may belong here.