But what about our neighbors in need? Perhaps some charitable funds can help pay for some doctors visits and maybe even some more free clinics, but what about big-ticket items like chemotherapy, dialysis and daily medications? Do you think most people would be better off in a free market and that state and local governments as well as charities and foundations can help with those in need? Granted, if we did go towards a minimized federal government, we could see restructuring of tax codes as states and localities decide to step up and as a smaller state encourages more charitable giving and volunteerism (ideally), but even if it were to play out that way, the transition would be… quite an adjustment.