Real oyes Realoze Real loes <| sep |> Its most about doing it yourself , not the government . Thats a bigger issue I think most people don ' t get Americans as a whole would probably love better healthcare for everyone , better everything . The reality is though , lots of Americans are more strongly antigovernment than they are in desires for better healthcare , better whatever . They don ' t trust politicians , they don ' t trust government to not fuck it up and make it as inefficient as possible , they don ' t trust laws to not have hidden fuck you clauses , they just don ' t trust government as an entirety . Obviously not all Americans are like this , but enough of them are that its a decently prevailing attitude . Its actually a big part of the rightleft divide in the US . The left is generally more in favor of government doing stuff , where as the right is content with being called obstructionist and trying to get rid of laws and remove government control and influence from things . Some of it is greed based , remove the regulations and let me screw over people for economic benefit ! Though its not just that , its really just a deep seated dislike if not outright hatred of government and all it represents .