Where your treasure is laid up, there too your heart will be--right now, the government is controlled by people who believe in "anarchy plus the constable" and deprive the government of tax revenue in order to stop it from having any safety net programs. And, of course, all of the wealth accrued in the last few decades went to a handful of plutocrats. There's no provision for products and services that the private sector doesn't think are profitable enough, and no controls on the two warring superpowers: health insurers and pharmaceutical companies.