There's always going to be the extreme libertarian view that Government should be abolished and everyone should fend for themselves, but countries with GOOD governments tend to be much better than countries with little or bad governments. Now I'm not saying the US has the best government, but it's not a bad one (despite some bad things it does) and it won't help to cut it down so it just functions less efficiently.
The mess of the health care act was because of the TeaParty/GOP/libertarians that are actually in favor of millions of people dying as a legitimate solution. It may sound crazy - because it is. Pretty much all other developed countries manage to provide health care to their citizens, but in the US we're worried about "death panels" killing off grandma and providing health care to women so we can't go there. ObamaCare was a first step - get everyone to have some sort of health care. A single payer would likely be more efficient than running through insurance companies, but that's too scary for some. We very much need more health care reform, but while some are offering solutions in reforms that will cover more people and bring down costs, others think the best solution is to drop tens of millions of people from the system and "scrap it". The system we had was fairly poor for those with money and horrible for those without - and costs were going up, yet people keep believing it's the American way that we should go back to. You can't make this stuff up, and you can't fix stupid.