As for most things, we probably would be better of with a lot of separated institutions instead of a big centralized governement: one in charge of police, one in charge of health, on in charge of education, one in charge or budget, all of them separated and not governed by one entity at the top.

But that's what we got now, so If I have to chose, I chose the gouvernement. At least in my country: they are paying for health already.