That because we're not a welfare state, we have isolated separate welfare programs, we don't have what you might call a integrated system. True it's not, but you need to take into account that there is a significant percentage of the American population that doesn't want the country to one day become a "social democracy society." Obviously we already have some aspect of one, but more than we already have, it just might not happen. Things like that not how other Western nations do things has absolutely no impact here. Federation wide? I would say no, it would vary from Member to Member. Some would be literally cradle to grave, other would have next to none. That's an interesting idea, seating by invitation only, Sisko decides, and celebrities come running.