If you need medicine more than you need food, why is it bad that the money is going to medicine? How is it better to give someone medicine + [cost of food] than to give them [cost of medicine + code of food] and then let them buy medicine and food as needed? It's the same number of tax dollars in benefits and fewer in overhead. And more value to the recipient because they get to decide if it's worth $5000 to have a marginally effective surgery or use the money for something else, instead of having a bureaucracy decide they can't have it when they want it or they can have it but not the cash equivalent if they need something else more.