> Here in reality, we are actually self-governing.
Given there is more to we than just me, "The Government" would refer to mostly other people and specifically other people with a particular proclivity toward involving themselves in the lives of others, to what effect is in the eye of the beholder.
Obviously it's messy, complicated, and not as simple as just "deciding what to do and doing it".
But it is fair to say that pretty much every rational person agrees that we should take care of each other including anyone with a rare condition.