What precisely are the GOP "ends"? Clearly it's not the overall health and happiness of Americans. How do I know this? Take a look at the Paul Ryan (read: Republican) budget. It's no secret that this legislation deals with health care costs by shifting the burden from the government's budget to citizens' budgets. Health care costs remain the same, but now seniors and the poor have to figure out how to manage these costs effectively.
If the ends are simply to shrink the federal budget then the Ryan/Republican plan achieves this goal. However, what we're left with is a win for libertarianism with no appreciable reduction in human misery.