I hope your not a big shot in a company because that would be to easy to shoot your arguments down. Wasn't it capitalistic American companies that forced drinking, smoking and fastfood on they're people to make a profit an make there shareholders even richer on the money of the shareholders neighbours? Are these rich people not obligated to help the people they extorted into sickness?
And what about people with genetic diseases that where caused by toxic substances they (or there parents, grandparents,...) had to work with to support the rich Americans?
Most of us don't fully choose there destructive lives some of us where born in it or even pushed into it and are to tired fighting it when there first thought is to stay alive.
Sorry that this sounds cruel but my father had to work hard to make a good live for his family and died early of cancer and I was lucky to climb up in live and have a nice education and a good payed job, so I'm one of the persons that can appreciate such safety nets even if it only helps 1 million of the 35 million people. And less then 1% off the American defense budget is small change for 35 million people.