I've been thinking similiar things, I just didn't make the connection to healthcare. I've been thinking sometimes that a lot of the disasters we've seen recently aren't just calculated cruelty coming from top down, it could just be that these guys have been huffing so many of their own farts over the last decade we've ended up with a clique of entirely stupid and out of touch ideologues. It very well could be that isn't that we won't do good things, but the entire state has been hollowed out and can no longer do anything but dispense violence. Look at how awesome our cops are at putting down dissent.