These beneficiaries help create a higher minimum standard of living. When you create a higher minimum standard of living, you narrow the gap between rich and poor. Furthermore, when the country's lifestyle increases with the minimum standard of living, the country becomes more prosperous. “The goal of true health care reform must be high-quality universal coverage in a cost-effective manner” (Saunders). A downside of the American welfare system is the frequent occurrence of welfare fraud. Welfare fraud is the intentional misuse of state welfare systems by withholding information or providing false or inaccurate information. On average, twenty to twenty-five cents of every dollar spent on four government assistance programs is lost to fraud (Politifact). Senator Ron Johnson in 2011 cited a