"Elderly and disabled and children from low income homes (even that part of the program is ripe with fraud.)" How many are in that situation because our obscene meld of corporate medicine and insurance as a 'profit-from-misery' is such a 'damned if you do and damned if you don't' construct?
Our society is in big trouble as such lengths are gone to in order to squeeze as many dollars from the already hurting and vulnerable as possible. Our 'system' - such as it is - takes advantage, an excessive advantage - of others' bad situations. And the exponentially soaring costs of it well indicate we've taken the wrong path in making good health the priority it must be.
And finally, most people want to be "hard working tax paying Americans" but that part of the 'system' has been corrupted too with a surfeit of minimum wage jobs, offshoring and automation for just a few examples. Our "way of life" and so-called "Exceptionalism" is in dire need of redefinition.