Speaking specifically of health care, which I presume means modernizing the system to single payer, there is real fear that medical practice will become an ugly assembly line like a state's DMV offices sometimes are -- disinterested bureaucrats dispensing care instead of skilled professionals and long wait times. That fear is somehow not alleviated by the reality that is found in most of the First World and I'm not sure why we carry that concern as part of our national libido. But it's a real thing, imo.