We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
My Dad, who has had a few surgeries, feels the same way. The point is, I think, that the US doesn't have a planned system. No PhD planner is smart enough to know, understand, or meet, every person's needs and wants. Plans and models never work out according to plan, in real life.