There is general populace interest and knowledge of politics. ish. in that there is general voting availability.
There is general knowledge formation by the populace. wikipedia. web 2.0 and social networking.
There is general knowledge of and use of computers.
When was the last time knowledge of health was considered correct from any source other than "professionals"? Is health something you actually need professional information on? Would wikipedia-style health work if it was a collection of many experiences and results.
Don't we have a health worker shortage currently?
In Somalia, there is no government. There, an effective non-state system has the potential to work. There is no specific monopoly on things like law and government.
Is there currently a monopoly on healthcare?