But we have some people who could work and don't. I could care less if they lose their insurance because unlike the above groups they choose not to work. This to me is different than the working poor or disabled or mentally ill whom I don't mind helping.
Do you care less if their children and dependents lose their insurance?
Ignoring the question of how you determine just who out there that is eligible for work and living in a community that has available jobs that they can do is deliberately deciding to not work ... what is your thought on the minor children and others who may be dependent on those 'slackers'?
I think you point out that it's complicated. Unfortunately, we neglect this discussion because liberals jump quickly to "you can't let people go hungry and without shelter or healthcare -- especially the kids", while conservatives jump quickly to "oh well... it's their problem -- they'll never learn if we keep enabling them". Thus, we never have the discussion about the complications that I think the vast majority of us probably agree on. Most Americans don't want able-bodied and able-minded Americans to cheat the government and collect welfare/Medicaid if they can work. In addition, most Americans are troubled by innocent children not getting adequate healthcare or nourishment when their parents are neglecting their responsibilities. An honest approach that might bridge (or avoid) ideological barriers, might be to actually get more facts. I don't know what the facts are, but I do have an idea of some of the questions (please add others):
How many able-bodied and able-minded Americans are receiving welfare/Medicaid when gainful employment is readily accessible?
How many of these people have dependent children who are relying upon them for healthcare, shelter, nourishment...?
How many of the people we presume to be able-bodied and able-minded are actually mentally ill (including substance-addicted or suffering from debilitating trauma past or present)?
What is known currently about the culture of poverty and the links to generational repetition of drug/alcohol abuse, mental illness (not just the genetic passing on of illness, but the cultural/sociological impact of growing up in a household with mentally ill parents), abuse, neglect, unintended pregnancies, poor nutrition, underdeveloped brain, underdeveloped executive skills? With what is known, how can government programs be more proactive in offering supports beyond money and healthcare to families with multiple generations stuck in poverty?
What options, in addition to providing food and healthcare, are there for supports that might empower rather than enable families -- perhaps lessening the level of dependence on government or shortening the length of time on government programs?
What role can schools play, as a primary community link for almost all children, for providing family support, family-centered futures planning, psychological and psychiatric care, and nourishment/healthcare for children/families in need?
No one who is both charitable and sensible wants to pay ad infinitum for the healthcare, shelter and food for generations of families, especially those with adults who appear able to work. Likewise, no one who is charitable and sensible wants another generation of undernourished, under-cared for children to grow up and repeat the cycle. I have to say that it is my guess that there aren't too many families who are cheating the government year after year who are not suffering, in one form or another, from vastly dysfunctional dynamics and/or serious mental health factors. That is not to say that there aren't people who are purely and blatantly cheating the government and taxpayers. Unfortunately, I think we spend too much time fearing the fraud when we should be more focused on the bigger problems and developing solutions.