@nprofile1q... It's not about the services. It's about who does them.
You can have ambulances and universal health cares and all that. The question is always: who will do them? Supply X demand.
Universal heath care you need to force people to become doctors (since they are paid the same as a barista) and enslave them later so they don't escape - like Cuba does.
Why would anyone build roads or drive the entire day instead of streaming games?
Who would build the houses for house assistance?