One good answer is...its pretty good and fucked up as it is now.

I don't see what's so good about the private sector running it.

It makes sense to try something else.

Sensibly speaking though, there's probably a way where they BOTH can be available...and let the CONSUMER choose.

Those who want the greatness of the private sector...let them have it, and the others will choose government.

What's so wrong with that?