Anything run by the government or socialized will eventually become inefficient and corrupt.
Anything run by any human will become corrupt. Even if you took programs out of political control, and put it in the hand of the citizen, the citizens would corrupt it due to greed.
Basically, anything humans touch will lean towards greed. There is no solution for this. Self-preservation is too strong and tribalism is too strong--we will always look out for ourselves/family/close friends first.
I dont have a solution. The only solution I have for myself to reduce my anxiety is confront reality as best as I can and keep pushing forward.