It seems like every government turns into a burden at some point. There is merit to the idea to have specialists run certain parts of a highly complex system that is automatically in place when a society grows too much. While I do have some experience in organizing, I wouldn't know how to organize a healthcare system on a community basis. Education to a certain point, yes, but university level? Research? I do not trust in the "invisible hand" of capitalism either. So, I'm stuck with very deficient governments - or just try and see what happens. But I don't trust in humans enough for that experiment, either. As you can read, I haven't found a path yet. For now, it's a mix of much community organization with some reliance on the government.