Yeah, thats the other side of my recommendation as in my post 52.
The welfare system stops, or at least is cut back to only very essential stuff to keep a baby alive until its of working age or something. I don't know how to do that exactly, but basically I'd cut entitlement programs, including social security and medicare by at least 90%. I'm sorry to say, but old people would be my first victims. US government would be responsible for medical care at 1960s standards...which is far from archaeic. If you want to bump up to 2011 standards, its on your dime. We aren't providing stemcell research and AIDs medication on the taxpayer dime for extreme examples.
Furthuremore, if the medical industry throws a hissy fit when people stop coming to see them, then they'll realize that their pricing is ridiculous and they'll be forced to lower it.
The taxes that are collected are used on universally used services...fire, police, military, infrastructure. ie services that when $1 is spent it directly affects thousands or millions of people all at once.
This won't happen obviously, so maybe its fruitless to pretend. In the meantime, I'm holding onto my hat as the government forces us into catastrophe.