The state does provide a lot.
However it isn’t as simple as NHS should provide. The needs of disabled people vary massively. For example one my DS costs is thermal socks at £15 a pair because he has no feeling in one foot. These wear out quickly because he needs a splint because he can’t control the foot as it doesn’t connect to his brain.
he needs adaptions to his car because with no feeling in his leg he can’t drive with it.
Trainers (we are loving the invention of sketchers slip ons) that he can get on with said splint and also without laces because he can’t reach his feet due to the spasticity in his legs.
Cooking equipment like wide handles as he has a poor grip (muscle atrophy in his hands) and a tremor.
clothing that’s accessible for him, goes over his splint and doesn’t slip down when in his wheelchair.
It’s not always medical support. It’s not always therapy. And it’s not always cost effective to set up departments that meet such a wide range of needs or contracts with companies for such a wide range of needs when only a small population of those that receive PIP or have a short term need will require that service.
It’s also worth remembering that by being able to fund some things also saves the NHS money as it keeps people fit and healthy and out of hospital. When we know the biggest cost to the NHS is obesity it makes sense not to have disabled people stuck at home with no access to facilities or exercise.
Also all the time people are buying and paying doe these services they are putting money back into the economy.
Of someone receive pip and employs their own cleaner and PA (who is self employed) who pays tax and NI and puts their wages into the economy it’s cheaper than someone from SS needing to assess, them needing to fund it, paying PAYe and sickness benefits and paying for the training, the trainers wages etc.
No one disagree that there needs to be reform of a lot of the current systems.
But most people realise it’s not asylum seekers and disabled people who are the cause of the problems and neither will stopping them be the cure.