This is sort of what happened with welfare too. For a long time, we depended on private charities to take care of the less fortunate. We decided the system sucked, so we established a government-operated safety net. But in this reality, it can be worse if you slip through the cracks of government programs. People around you by and large no longer think it's their duty to help.
Anyway, I wouldn't write it off as extremism. It's just we need to pick an option and stick to it. In a "nanny-state" world, you can't decide that you're not going to regulate food safety anymore and hope that the market will sort it out.