As far as your personal goals are and what you actually want to do with your life, it should never have to do with the government. You should never depend on the government for your retirement, your financial security, for anything.
Paul Farmer has helped to build amazing health care system in one of the poorest areas of Haiti. He founded Partners in Health, which serves the destitute and the sick in many parts of the world from Haiti to Boston and from Russia to Peru.