There is a tremendous amount of judgment and supposition there. If she is good at masking her illness, then he could very well care and not know that she's sick and needs some help. If someone wants help they should ask, and certainly should not expect others to instinctively know they need help.

Having dated a few people who expected an instinctual understanding of themselves and then came to that same misguided conclusion (that I didn't care because I didn't instinctively know they needed something from me), I have dedicated myself to speaking out against that kind of thinking.

People, especially men, are not mind readers. And expecting instincts on learned behaviors that may be different across cultures is mind reading of the first order.