I am unsure from what this is from, but I once read a story in which a form of healing magic exists. One requirement for it to work was that the person being healed needs to be OK with it. If someone tried to cure your paralyzed legs and you don’t want them to be “fixed” as you don’t view as an issue or being paralyzed is just part of how you are, then the magic can’t work on you.
My guess is that due to money being more tight, people want to make sure that they spend it on things that actually matter.