Rand Paul actually said...

Do we really need to be duplicating services that are available in the private sector?

You can be fired by the taxpayers, someone in the executive branch can replace you, if you don't do your job.

Reducing the use of EDs for nonurgent health problems may generate much lower cost savings to the health care system than is commonly assume...

When you use force to transfer money from those who work to those who don't, that is not charity, that is redistribution of wealth.