A state should work to ensure everyone lives in a desirable area, doctors & patients.
You're also just copping out by saying "the state should handle it", who and what do you think the state is? It may come as a surprise that it's just a bunch of people who are just as imperfect and limited in their abilities as the rest. They can't simply wave their hands and make everyone happy. It make about as much sense as saying "Microsoft should handle it" or "the Catholic Church should handle it".