MaizieD That is more or less how it was in this country for centuries. From the ruling class, neglect of the poor and left behind, or treatment of them as cannon fodder in war and expendable in peace, while the poor and left behind were cautious of attracting too much interest from above, as it usually resulted in them being thrown into jail as vagrants and their daughters debauched
Poor relief was traditionally the duty of religious institutions, who funded it from the tithes paid to them by all in the parish, and donations from the wealthy with an eye to salvation. That worked when communities were fairly small, when the local bigwigs, landowners and farmers all contributed their 10% to the parochial budget and the church wardens knew their parishioners well enough to distinguish those who were genuinely in need of help from the idle wasters whose greatest need was for someone to shame them into providing for their families. It was "outdoor relief" - you got money to tide you over. If you moved away and then got into difficulties, you were sent back to the home parish where you were born and baptised to ask for assistance.
The growth of cities, road improvements, and the start of the Industrial Revolution meant that communities were larger and more crowded. People moved from where they were well-known to anonymous rookeries near where the work was. Some parishes contained vast numbers of badly paid workers and couldn't cope with them.
And so the system changed and Union Workhouses were born. Funding was still by the parishes, but it was more economical for several parishes to unite and construct a building where the indigent could receive "Indoor relief" - be taken in and sheltered, clothed and fed under one roof. Gradually, funding from the church was replaced by taxes and responsibility for the poor moved to the state.
The first Americans copied the systems in place at the time they left behind the mother country, and the tradition of assistance in time of need coming from charitable giving has persisted to this day. So has suspicion of the motives of the state. In the UK, that has not completely died out either, but we have had longer to associate the state with efforts to solve the perennial problems of keeping everyone fed and healthy. Many in the US still have the traditional fierce independence which made the early colonials emigrate in the first place, and those who have been very lucky and successful in life do appear to require that those who are barely surviving display it too.