> you need to look at the local conditions and please don't generalise
Presumably, since the context is US healthcare, maybe the commenter meant "governments" inside the US. At the least, it's not worth assuming they meant every government everywhere for all time given the context. Please don't generalize.
> Maybe a positive attitude that government (which is after all, us) can be a force of good would be a good start.
Amusing that such a general statement about government follows a statement about not making general statements about government. Experiences and governments vary wildly. Benefits of support/trust attitudes versus the opposite also vary wildly with differing levels of success.