To close the gratuitous budget deficit created by tax handouts to the rich, the cruelist wants to cut funds for children's health care.

To reduce the cost of children's medical care, the ethical first step is to provide reliable birth control and abortions gratis. With fewer children, their medical care will cost less and their education will cost less, without denying anything to any of them. Their parents will suffer (most of them) less stress, so they will grow up (most of them) as happier and more capable adults.