it does mean that, it's a deniable genocide of the sick & especially the old, which is why Americans live much shorter lives than the peoples of other nations (& not just "rich" nations but many poor ones too like Costa Rica & Cuba)
but it isn't passive, it's active & premeditated
Brian Thompson made material "improvements" in the efficiency of the genocide to delay care to old people so they'd croak faster & never collect
https://www.newsweek.com/united-healthcare-ceo-shooting-ai-lawsuit-1996266