If everyone turned the other cheek, as Objectivism permits, disabled people would die, almost instantly, and every sick person would die, almost instantly.
Actually, even if only a proper government were to be implemented, the value which would acrue to those in need of charity would increase immensely. The current government, with its confiscatory tax programs and incredibly inefficient benefit programs, saps both wealth and value from all of its citizens. In a true capitalist society the standard of living would increase so greatly that even the lowest rungs on the economic ladder would be carried along with the growth. The average citizen who now currently donates to charity would himself become so much more wealthy as to enable him to increase his donations manyfold. Current private charities, religious or otherwise, remain light years ahead of the government in terms of their efficiency in dealing with “need.” Those private charities would acquire an enormous amount of wealth when the citizens are no taxed and regulated to death.