The amount of people that depend on things like Medicaid would stagger you, private charities do not have the resources to help all the people that need it. Real people, not people gaming the system. I have a sister with Downs, and I haev a brother that destroyed his life with Booze, The meds alone for my sister would break me if I had to pay for them out of pocket, You have to realize the gravity of taking away those safety nets like medicaid and medicare.