The truth is that the State is a conspiracy designed not only to exploit, but above all to corrupt its citizens... Henceforth, I shall never serve any government anywhere.
Socrates, indeed, when he was asked of what country he called himself, said, "Of the world"; for he considered himself an inhabitant and a citizen of the whole world.
The doctors will treat those of your citizens whose physical and psychological constitution is good: as for the others, they will leave the unhealthy to die and those whose psychological constitution is incurably warped they will be put to death.
Health care got done because there were a lot of people out there who aren't professional politicians, but are citizens, who pushed for it even when the politics was hard.