As someone else stated there’s really no way to answer this without specifying in what way. The federal government is bigger in some ways and greatly lacking in others. And the amount of finances or revenue isn’t going to tell you the size of the government. It just tells you what one of it’s resources is. I would argue that if you aren’t in an area that’s trying to enforce religious rules/laws the average person likely has more freedom than in the past. Obviously based on the demographic that might not be true though.
Insurance companies have control over what the doctors can do and over their schedules. They are only allowed to spend certain amounts of time with patients or they get in trouble. All the doctors I’ve talked to hate this. Blame insurance companies and the hospitals for prioritizing profit, not the doctors.