Its a hyperbolic argument, which derives from an archtype we see as a result of systemic failures. Again, i'm not negating the systems of healthcare or centralization itself. I'm not reimagining anything, I'm stating observations verbosely "to the room" to lay out my stance. My argument is not "we need better healthcare systems", if "better healthcare systems" means more organizers at the top placing more rules and more beauracratic systems to enforce said rules.
We need more individuals at the low level navigating the intricacies of the situation. We also need the organizers at the top to be receptive of these local needs. If it was the norm we wouldn't be seeing such disparities of violence and homelessness that already exist.