Okay, here it is, if you'd like the complex side of things (I told you I was eclectic):
Welfare, subsidized ER visits, unemployment, etc. are necessary for a society of our size to continue without constant drag on the bottom. So is free education. So are roads. So are about a zillion other things.
Overall, I think that local, private charities are best designed to handle these problems. However, I also think that charities wind up getting so absolutely fractured and splintered that it's difficult to actually get anything done with them.
Thus, local and state government provide an expedient for distributing these funds in an equitable and, more importantly, *unified* way.
I support line-item taxes.
Essentially, I get my tax forms in the mail. Instead of the standard "You owe us $X.YZ. Pay up, sucka," there's an itemized list of the various programs that will get my tax dollars, how much my "share" is, and what percentage of their request last year was filled.
I then go through, total up all the programs I'm willing to support, and send in that amount. I also pay a small "slush" tax, which goes toward bootstrapping *new* programs. If I don't like *any* of the programs, am hard up currently, or just generally a curmudgeon, I don't have to pay a damn thing except for the slush tax. Yeah, that means I can go for years without paying any real taxes, but it also means that both the PEOPLE and GOVERNMENT are accountable for the state of the world.
If you aren't willing to contribute $0.35 for your state police, chances are you don't deserve to be safe. If you can't chip in $2.50 on highway improvement, don't throw a fit about the potholes. If you don't care about people dying of influenza, can't be bothered about advancement of the arts, or think a new dog-catcher's van is needed, then don't fund those things.
If a program doesn't meet its funding requirements, it either changes form or it dies... the people have spoken. This is no different from cutting funding on the legislative level. However, it does give the people a veto on the stupidity of politicians.
True, there're probably going to be a couple hundred items on the list. However, they currently make tax software... there's actually free tax software out there that's pretty decent. It'd take me all of an afternoon to write a piece of soft that would give you click-boxes and tabulate your totals for you. If you can sit through an online personality test, you can do your taxes. Or, if you're completely lazy, either pay nothing (except "slush") or pay everything.
The silent form of welfare that nobody ever seems to complain about is the billion or so folks who get my tax dollars to shuffle papers all over all day.
The problem is that, like many radical Libertarian approaches to government, this requires that people be both mature and sophisticated. I know this is beyond the current state of the world, and in the meantime I'd prefer that people not be starving on my streets. So, yes, I support "handouts" as a stopgap for people getting a little smarter and taking responsibility for the place that they live.