The main application of digital governance is not the automation of administrative services (as it is now) or of administration itself, but meta administration. Governance needs to be regulated for accountability in a long game (longer than a human lifetime).
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Maybe true - insurance makes big $ and distorts marketplace. In 70s could not advertise direct-to-consumer. My questn is how can it be reversed and incentivized properly? Remember that many Americans like lots of elaborate care for psych/emotional reasons.
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Still a relevant question to answer in my opinion. There may be values that are more or less universal for any civilization such as "don't go extinct", other moral change in societies may succumb to inflexible government bodies if they are incentivised to cater to long term goals
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