Do you think either of those programs are run particularly well from a financial perspective? How about the VA, medicare/medicaid, and social security? If you are a corporation running a pension plan, you have to have it funded at a set percentage and send out statements saying you are in compliance to all of your beneficiaries...what would such a statement from the social security program say?
Given what we know about over zealous government surveillance and unmasking, the politicization of government bureaucracies like the IRS and the justice department, do you really want that organization handling everyone's health records. I know all that was fine with you when "your guy" was in office, but as you can see your guy is not always in office.