That's how we ended up with the word "entitlements". Because nobody wants to say that it is better to be rich than to be poor, or that Billie Holiday got it right: "God bless the child that's got his own".
So the Enthusiastic Puritans (Dems and Libs) who want to run everything screw up everybody's health insurance while the Reluctant Puritans (Reps and Conservatives) only want to tinker a little. But they both want to run your life, and neither wants to actually touch the poor people, or provide an actual solution.
The American form of government works best when people come together to serve the American people, THEN GO HOME. The US Constitution is not a mutual suicide pact, and it is also not a perpetual employee law.