Ben Sasse is the poster boy of the GOP's economic nihilism wing. What is virtuous about cutting my brother's Medicaid to fund wars abroad?
Philosophically I argue there's another side of the coin here. Why should we prop up Medicaid for a population that abuses it (which goes to 77 million Americans I think?). To me state funded Medicaid should go to those whose costs are impossible to finance through insurance and should be a last resort, not a first. I don't know why your brother is on Medicaid and most likely he should be on it, so I'm not singling him out here.
As for wars I submit that - yes I'm a realist neoconservative - that projecting American strength abroad protects our nation. We can argue about which wars do that but we shouldn't retreat from global engagement, including military ones.
EDIT: to be clear my Medicaid reforms would go hand in hand with a health insurance system closer to maybe Switzerland.