Paul Ryan (R) - WI
Next potential Speaker of the House
I sense that Ayn Rand wasn't really promoting the idea as much as she was really exposing the heart of true human behavior: An unmitigated sense of self preservation, a world without health care, where only the strong survive.
The problem with this idea is that people who are weakest of mind are self-aggrandizing sufferers of the Dunning Kruker Effect, and wouldn't last a day on the African Savannah.
So, Paul Ryan's voting record and social values are not really surprising.