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I would create a trust for my daughter, an annuity for my wife that includes payments for healthcare, and a separate fund for property tax and home maintenance to ensure my daughter has a residence and doesn't have to settle later in life.
Next, I would through my friend list (it's not big) and pay off mortgages for those that have them, and purchase homes outright for those that don't.
Finally, I would use the remaining funds to buy up and then forgive US medical debts for pennies on the dollar. This last one would probably exhaust the funds, but would have the broadest positive impact on people.