Its a chicken and egg problem as well, the way we regulate and manage health care and health insurance (at least in the US) allows for costs to pretty easily bleed out to the rest of society. That implies that we must then be collectivist in other policies, though that is counter to many of the original goals of our country and the question is whether we changed those goals or inadvertantly built a system that requires changing gials after the fact.
We have a similar problem with immigration laws. Our immigration laws today are completely counter to what they once were, and counter to what is still written on the Statue of Liberty. We have immigration laws now that are necessary because of the welfare programs we implemented, even if we wanted to live up to the older ideals we couldn't without abandoning those welfare programs entirely.