This is one reason why we have a state, which collect taxes and can provide those services.
I'm not sure this comes as a surprise to anyone except for those who have had no interaction with state-provided social services. I'd also say that a level of care that does not reach to that 1:1 standard is still appreciably better than no care, which may be what one might otherwise receive.
The open question is can we work out better, decentralized ways of providing support that take advantage of the new social technologies that we've developed since the construction of the modern state and its welfare services in the late 19th and 20th centuries.