What on earth are you talking about? Its transfer programs. There is no "value for money involved" concept involved in transfer spending. The gov takes the money in and hands it back out. It does not decide if patients need medicare monies spent on them. It does not get to decide whether to pay out or withhold social security.
And what they believe is irrelevant. Hell half the population doesn't think global warming is real despite mountains of evidence and nearly half believe god made man 10,000 years ago. Hard data trumps belief every and any day of the week, month, year, decade, or millennium.