False, social liberalism makes small government impossible.
The key to smaller government is who gave it to us in the first place and fights for it today, social conservatives.
Social liberals are overwhelmingly liberal voters.
Funny someone just mentioned you. LOL
So yes, if one considers socialized medicine as a Socially Liberal issue (as I do) support for it runs diectly counter to Fiscal Conservatism.
Which illustrates pretty well how fluid and complex the language of political and ideological differences has become. Essentially we’re defining ourselves and each other by simplistic labels that really don’t express how close together or wide apart we can be on specific issues.