Fiscal responsibility

That term doesn't have quite as much to do with the actual impact a given policy has on the budget as it does with who benefits from that policy. Large unremunerated gifts to wealthy taxpayers and blowing stuff up is perfectly "fiscally responsible" from the point of view of the people receiving the tax breaks or getting paid to make bombs. Meanwhile helping some uninsured people spend mostly their own money on health insurance doesn't seem as fiscally sound from that same point of view. So which point of view gets written into the public discourse?