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Leave it to Vox to expect the government and the system to figure out all of life's problems for you. This has to be written by a millennial.

Would you say that I am 'unpaid labor' because I have to do all the work of finding a good university? How about buying a new car?

I've dealt with many government agencies and if you think government-run care will be any better than what you describe, you're dreaming.