It's not "government run" agencies that have tanked. It's the ones without regulation.
How you could be so out of phase is what is amazing, TB. It was the lack of regulation that did in those outfits.
The rest is simple. The private sector isn't providing health insurance to many folks. For them to obtain said services, the government has to provide them, and should use profits from resources such as oil and mining to fund it.
Arf