> inept worthless corrupt government

If you seriously believe the government is that bad, then fixing it should be your top priority. Above all else. You can't have a successful country if the government is corrupt. And you can't just patch and hack around its failings. That shit will eventually catch up.

I believe government is inherently corrupt and can not be fixed. As you consolidate power and authority into a central structure it by nature attracts unscrupulous people that wish to dominate others with that power

The only way to resolve the problem of corruption is distribute and limit the power /authority any group of people has, instead we have slowly over the course of time vested more and more power into a ever growing federal government that continues to become more and more corrupt.

Power corrupts, Absolute Power Corrupts absolutely.

The US Federal government was designed to be very Limited and subservient to the people and the States. Over the last 230 years we in the US have lost sight of that, and instead many now believe the government is our sovereign, is the ruler, is the source of our rights, etc. We have lost sight that we are suppose to be self governing, and that our rights are natural not granted by government.

In my view the government that governs the least governs the best, and giving control over my health to said government transform the relationship between citizen and government in a ways irreparably harm the principle of self governance, and individual liberty.

There's no reason for the federal government to run healthcare, even in a single-payer world. There are other implementations of universal healthcare where it could be run by states or counties.