It "dooms" everybody to take responsibility for their own life. It "dooms" people to not be able to do the moral equivalent of pointing a gun at their neighbours and demanding money. It "dooms" people to have to make their own choices, and to either succeed or not by their own ability.
If someone has cancer 100 miles away from me, it is NOT my responsibility unless I voluntarily choose to accept it.
But what's the use? Self-respect, self-worth, self-responsibility, and integrity are concepts lost in this forum.