Since healthcare has become a topic of high interest as of late, it is important to have as many facts as possible before we come to a good conclusion. These figures a bit old but things have not changed much in the past five years. It should be noted that the government at all levels is the single largest payer of health services, with the government accounting for 44% of all expenditures. http://www.cdc.gov/nchs/data/hus/hus05.pdf#page=380 Private health insurance is 36%. Out of pocket expenditures - what people pay themselves - is 16%, and all other private expenditures - primarily charity - is 4%. 50 years ago, over half of all payments came from out of pocket. Now, $1 out of $6 is actually paid for by individuals. Thus, the government already is a large player in health services.