Personally I think certain services should be non-profit enterprises. They would include fire departments, police departments, hospitals, utilities such as electricity, water, trash and garbage, and above all, education.
All of those should be run either as a governmental organization or as limited controlled monopolies.
In health care there should be a single insurer, preferably the federal government and that agency should be the single buyer for services and supplies.
Anyone so limited that they can only spell a word one way is severely handicapped!