Another issue is the cost. One reason college and Healthcare are so expensive is because the government has made large pools of money available to those industries, which is then lobbied for. There's little limiting factor in the expenditure. Because the money is lobbied for, the quality goes down, because the means of getting the money is not the quality of the service, but rather political cronyism. So even if you get what you paid for, it often isn't as good or as cheap as it would be in markets where everyone paid directly.

For example, if doctors had to scramble to get patients and couldn't just make insurance claims to collect, the price of care would necessarily plummet and quality would go up as doctors competed. Take away the control they have over the prescriptions, that they're the only game in town, and you could get advice from a gp for $60/hr easily, you'd be seen quicker, and sometimes the same day. But no, we got communist faggots who don't understand markets whatsoever, and so we pay out the ass and wait weeks to see a doctor. I was around in the 80's. I remember what it was like. Doctors still made house calls. But this is winning for the commies I guess. 🙄