Using tax dollars to provide services is inherently less efficient than a free market. I think it's not hard for you to agree that, for individual service, the more centralized the govt, the less efficient it becomes. Ultimately, if it were at all possible, the responsible individual making knowledgeable and adequate use of insurance options, will be the most efficient provider of service.
With a few exceptions, were govt staffed only by angels in the business of really educating consumers on how to provide for themselves -- rather than infested by too many looking for an excuse to build their powerbase -- would not the liberal intent would be better served?
I made that "remark" because I'm really not sure of what effect the 15% cut will have. Why should I be if "professionals" disagree (we'd all be lost without the quotation marks)?
In an ideal world, laissez-faire capitalism would be the best, most efficient, most honest way of making use of resources.
But this isn't an ideal world and noone knows how to make it one. So we're all floundering around ... improvising.