None of the major political ideologies are particularly consequentialist in the way they approach policy. Progressives by and large see the world through the following lens: There are some people who are oppressed and others who oppress them. Government policy ought to focus on emancipating the oppressed and punishing/overthrowing the oppressors. Criminal Justice: white people oppressing brown people. Abortion: Christian men oppressing women. Foreign policy: America oppressing the rest of the world (unless it's America saving some oppressed foreigners from an oppressor). Housing policy: landlords oppressing tenants. Labor: captital oppressing unions. Taxes: the one percent oppressing the 99%. Marriage equality: straight Christians oppressing LGBT people. Progressives aren't generally concerned about utility: they're concerned about justice. Even the Animal Rights movement, essentially founded by arch-Utilitarian Peter Singer is focused on the class relations between animals and the humans who oppress them.

In this case, the oppressors are wealthy business owners who are exploiting the labor of the poor and helpless AND exploiting the rest of us by placing the burden for care on taxpayers.

I know this summary of liberal thought probably sounds strawman-like. I don't mean it to be taken as a summary of progressive arguments on these issues. There are good arguments for progressive positions, many of which I agree with. Rather, this oppressed-oppressor lens is just the initial conceptual frame most progressives have in response to any political issue.

I'm not saying there can't be real instances of oppression or that ending oppression doesn't increase utility. But when all you have is a hammer, everything you see looks like a nail etc. Conservatives and libertarians have similar non-consequentialist frames through which they view every issue. See "The Three Languages of Politics.

The extent to which any ideology can be "true" is mostly just the extent to which their central heuristic is useful and actually describes the world. There is a minority of libertarians and an even smaller minority of progressives that actually appear to mainly care about the consequentialist effects of policy. They happen to over-represented here, but they're pretty unusual in the rest of the world.

BIG + no other welfare state and no minimum wage is probably preferable to what America has now. I sort of worry about how hard it would be to hire someone if the BIG got too large but it probably couldn't be worse than trying to hire someone in an environment where they could lose their house, health coverage and disability check if they begin making too much.