The issue for me is that the federal government is notoriously inefficient. They have no external pressure to be efficient since they have no skin in the game. Don't misunderstand me; i'm not saying there aren't huge issues we need to solve in this country like the broken health care system or the rising inequality gap, but I've never seen any data that indicates giving the government more control and money would solve these societal problems. The US gov't already spends significantly more on health care per capita than other similarly wealthy nations[1].

[1]: https://www.healthsystemtracker.org/chart-collection/health-...