The federal government was not up for the task of building and overseeing a complicated e-commerce business with a significant data management back-end -- any more than it has ever been up for building the military's fighter jets, running commercial airports, or administering the actual Medicare program.
My son has autism. I started Slice to fund long-term care for him. Day-to-day living is a challenge for our family. I purposely built our business less than a mile from our home so that I'm just a text away if needed. Traveling to the other side of the planet and being away from home for two weeks at a time is not an option for us.