https://www.usconstitution.net/constitution-and-healthcare-policy/
This might help...
Most is done under Article 1; Sect. 8 ...”provide for the common Defense and General Welfare” clause
see also: https://constitution.congress.gov/browse/article-1/section-8/
It would be a massive undertaking to rid ourselves of Medicare/Medicaid and by extension, Social Security. Given SCOTUS precedents, it won’t happen. Given those programs’ 3rd rail status, I doubt any Congress will even try to eliminate them.
General welfare just means creating the conditions that allows people to prosperity, like even handed laws and fair policing. It was not meant to be a backdoor to socialism.
Maybe, just maybe, if DOGE can uncover the Medicaid and Medicare fraud and show the cost differences hospitals charge for care when the patient pays cash or uses insurance, we can see a much leaner and affordable system of care.