Anybody wants to know how good our Feds are at running health care has only to go to an Indian Health Services clinic or hospital. Many of the workers are skilled, care, and work hard, but the whole system is so jacked up/difficult to navigate, and corruption and incompetence is so flippin' rampant... It's a crap shoot whether they will have a complete, working piece of machinery, the meds you or your loved one needs, or have a surgery theater in working order.