The head of the state’s Department of Health and Human Services last week told members of the Appropriations Committee that her agency could not trim program any further. Instead, entire programs would have to be eliminated to shrink the department’s budget, one of the two largest in state government. As Rep. David Webster, D-Freeport, noted, all of DHHS’ programs were created for a reason. With that in mind, what services should it stop offering? What should not be cut? Who should get top priority — the elderly, children, the poor, those with disabilities? Or are such choices a sign that taxes should be raised to preserve needed serv-ices?