"Schools. You can't have a real democracy without a public single-payer education system."
Sure you can. Why can't it be done with private schools?
What I was saying was healthcare has no direct connection to the government. There is no explicit mandate, unlike law enforcement (which ties to the police and the courts and the jails).
Perhaps that's why the Founding Fathers originally insisted you have some land in order to vote: to make sure you had some actual skin in the game.
BTW, if you're worried about the people at the top cutting the runs of the ladder, you're playing the wrong game; you're trying to blame the owner of the casino when what you should be considering is changing the game altogether.