Caring for the sick and poor is a noble cause. Most of us do our part, but the reason for programs run by our federal government (yes, our) is to guarantee that no one falls through the cracks, that no one is forgotten about. This is simply a way to care more carefully and completely. It is a form of neighbor looking out for neighbor by managing risk, allowing security and peace of mind to spread through our society, with many extra collateral social and cultural benefits for us all. What Ryan, Trump, and the rest are doing is wrong and damaging beyond what is being imagined.