On the other hand, people are going to have to start taking responsibility for themselves rather than relying on big brother to take care of them.
I don't have much to add to this in terms of detail, and I know there's a debate to be had on the details. But as someone who lives in a country, where there's a healthcare service that's free at the point of delivery (barring some minor charges for prescriptions etc, and paying for cosmetic stuff), I'm not sure I recognise the big brother reference.
We took a decision to provide automatic healthcare for all, and get everyone to pay some tax to fund it. That's not really symptomatic of a nightmarish, Orwellian dystopia. It's pretty cool really. And we're not even slightly commie 😉
Could there be any greater conceit, than for someone to believe that the universe has to be simple enough for them to be able to understand it ?