Those same Americans travel to Switzerland and are amazed at the level of good public transit. Americans who have never left this country (the vast majority) h

Those same Americans travel to Switzerland and are amazed at the level of good public transit. Americans who have never left this country (the vast majority) have no idea how competently ran government services can look like. We also have a party in the US that actively adds more regulatory pressure IFF the government is the main stakeholder in a project. For example, environmental protections are significantly stricter (arguably, to a fault) if the project is being led by the government. Also, for example, the government is not really allowed to negotiate Medicaid medication prices. Something private insurance does not need to deal with.