If organizations like the Federal Reserve and governments were forced to compete in a real economy, they would have been forced to declare bankruptcy, reorganize, and split up into smaller pieces long ago.
For starters, let's have California secede and limit Bernie-style socialism to the new republic. If my predictions ended up being wrong and the state became a paradise, then the rest of the country could quickly follow suit.
Economics today poses as a predictive discipline which fails to correctly predict anything; a prescriptive discipline which prescribes the wrong policies; and an empirical discipline which collects data but misses the point.
Was healthcare a natural right two hundred years ago? If so, how is it that this "right" to eighteenth-century medicine morphed into a right to MRIs and chemotherapy? Do rights change with technology? That's not how rights work.