When I came to America, I did assume we were better than what.
I would choose the only civilized option: pay for sick poor people to not suffer for treatable conditions.
It doesn’t have to be by taxation. We already have charities that pay for disabled children and physically ill people. We have multi-generation mentally ill poor people that are equally in need of help but most dont see it that way.
Or do you intend to do like the Nazis? Label as “useless eaters” and kill all the disabled? How efficient and profitable!
You understand, of course, that you just violated Godwin's Law.
I "don't intend" to do anything, or "kill" anyone.
I do intend to refuse assuming inappropriate responsibility for a no-win situation not of my making. I'm not enabling irrational behavior.