The cost - in money, lost time, perversed incentives, etc. - created by government bureaucracies is massive. I see it daily. The program I'm on - creating a streamlined payroll/accounting system is a joke. Instead of rolling up existing "silo" systems, we've just ended up creating another system. It happens every time. This program was supposed to take five years and about two hundred million dollars. We are in year 11, have spent nearly a billion dollars, and we are looking to do another five year contract to finish/fix our half-created program. The daily decisions made are mindboggling, to put it nicely. We pay some of our contractors more than $300/hr, and they don't have to produce anything other than the promise that they are almost ready to produce something. We have a couple of subprograms that have achieved nothing in four years. Nothing. That's government.
You really want the government controlling health care any more than it already does?