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If I understand your perspective, any behavior or communal committment explicitly addressed in the Torah is a fundamental moral imperative….everything else is a discretionary policy choice over which reasonable yidden might disagree. I guess that works for you but what about the young child of a single mother who would like to observe the mitzvah of “u’shamartem es nofshosechem” but sadly lacks the resources to provide for preventive health care. Is it the responsibility of the tzibur to provide a social safety net or simply allow for those who want to voluntarily give tzadakah to do so and if not, the child may be at risk from fatal childhood diseases.