Perhaps it is time to take the opposite approach. That of eugenics through drugs. (I’m not proposing this seriously, just that it makes for an interesting picture.)
1) On top of perpetual government welfare, why not offer the poor free drugs if they want them, as well as free sterilization? Many would choose the path of painlessness, since they have already chosen the path of failure. They just stay stoned until they die. The only difference is that society lets them, instead of throwing them in prison.
2) Prisoners should also have all the drugs they want, except that the last year of their sentence would be at a drying out facility. Being in a perpetual stupor, they would be much less prone to violence against each other and guards.
3) Embrace the philosophy of “my body, not the governments” in other regards. That if you are an adult, it is not up to government to restrict or tax you for smoking or drinking, for using illegal or prescription drugs, taking herbal medicines, refusing vaccines, trying to cure cancer with chiropractic and prayer, reckless consensual sexual activity, etc. But it is ALSO not their job to pay for anything you do to yourself in the process.
Also, consenting medical acts. No more government license bottlenecks.