Yes, we know. It's not truly Republican unless it leaves the poor to die in a corner of bootstraps-itis. However, at the time the Heritage Foundation was still wearing the mask of caring because they hadn't pushed Single Payer out of the Overton window yet. It's bad optics to admit that you want the poor to die in a corner, so they had to pretend to have a solution and assistance was a cornerstone of the solution they pretended to have. The mask is off now, but history is history: it was part of their proposal.