If Uncle Sam is too incompetent to manage healthcare, than he should shouldn't be trusted with the national defense, intelligence, foreign relations, or law enforcement, either, since all of those are at least as important as healthcare. If they're honest, people who oppose national healthcare on the grounds of governmental incompetence should also advocate the abolition of the US military, the CIA, the FBI, the NSA, the State Department, the Justice Department, the Department of Defense, and the federal court system. Just for starters.