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...because I believe that personal well-being is primarily the result of one's own efforts, and not the outcome of some government programs...

...This is if you were lucky enough to be born in a peaceful (civilized) country where you could receive medical care and regular check-ups from birth until your last vaccination (government healthcare programs), where you were taught to read and write (government education programs), where you could receive help in difficult times and during natural disasters (government social insurance programs)... in a place where you were initially provided with normal conditions for human existence. But in a place like Burundi, the use of one's hands might only be limited to this: