I think it's an understatement to categorize the changes as "tweaks." In the U.S., the prevailing view seems to be that social services are a concession capitalists make because they're forced to. We glorify and fetishize capitalists and achievers and optimize the system to benefit them. Even our left does that (e.g. HN). You can have free markets without that mentality, and that might be a good thing because I think people are chafing at that.

At the end of the day, the actual change in the mix of social services might just be tweaks, but you're also talking about a very significant change in worldview.