A person who is both socially and fiscally conservative may assert that there is not actually a real problem, especially if it is for a social cause.
For example, giving money to single mothers is not something a social+fiscal conservative will really want to do. They would rather see that there are no single mothers, rather than give them social acceptance as a normal thing. As such, they would be more inclined to see that single mothers get temporary support, while they find another husband, etc-- and that such temporary support is indeed just temporary, with finite, fixed limits, and that it is exactly just barely enough to support them until they do so. They would be very concerned about changes in the incidence rate of this issue, as they would view it as a serious social ill in society that there are children not being raised in classic nuclear families. If the incidence rate goes up, they would be in a serious tizzy over it, not be looking for ways to hemorrhage more money to support them.
Throwing money at healthcare doesn't create better healthcare, it just gives bigger bonuses and salaries for the employees. Just as it does in almost every sector that doesn't have a feedback system between demand and supply.
I am a moderate, who is fiscally conservative, but socially liberal. I dont see a problem with single mothers, as long as they are able to properly provide for their children. Everyone falls on hard times, and having a social safety net is a good thing, but having people subsist entirely out of it is not acceptable. (For one, it takes money away from people who are just in a rough patch of road, which leads them to persistent poverty if they are not helped in a timely manner-- and two, enabling persistent populations supported by the state creates a persistent underclass which is deleterious to the society.) People getting government assistance should receive just enough to get by, and only for limited periods, and only recieve permanent assistance for VERY VERY special conditions, with strict requirements.
A social+fiscal liberal wants to accept every social choice as being valid, and wants to assure that everyone gets everything they want or need in a comfortable setting, regardless of price of impact to the rest of society.
Not sure how it is in the US but in Norway we have very serious problem with welfare spending.
I recommend the book "Michael Lipsky: Street Level Bureaucracies" as it explains why public directorates and institutions always "implode" over time.
For Example, in my country the single payer healthcare system capacity has reduced 67% whereas spending has increased 400% the last 30 years and even though we have three times as many doctors the amount of people waiting more than 6 months for operations/treatment has increased 64% and the price of each person in the system has increased by 70%. If we continue the current trend our healthcare system which is ranked best in the world by the UN will collapse.
Welfare is very nice, to not have to worry about poverty is relaxing, though I also see the problem with making people comfortably poor which makes people perpetual welfare dependent which limits social mobility over time.
What we end up is a strange mix of incentives to get people to work, get companies to hire unemployed by having government pay part of the salary etc all of which has consequences that creates new problems such as unfair advantage, corporations only hiring part time unemployed people on rotation to lower wage cost which requires new laws to prevent this which also limits companies ability to change in accordance to demand of services etc.
And with regards to the election I'm as a Norwegian is very happy Trump got elected even if he will force my country to contribute more to NATO because war with Russia is the biggest threat to welfare here in Europe and I hope it doesn't happen, though we do have warmongers here who want a war with Russia. Ironically in Norway both Communists and Conservatives are allied whereas the Socialist and Moderates want war... strange times.