I would prefer that government workers had incentive to do their jobs well. I do not like unions because the slacker gets the same raise as the guy doing all the work. And soon the guy doing all the work starts slacking as well. I would also like to see penalties for not doing their work.
Government health care will end up the same way - bloated and inefficient. I would prefer to offer incentives to private companies to be more efficient, and to have more people enrolled. I would also be more strict about things like 'Restless Leg Syndrome' (and I am a sufferer...

) - come on, we should not be wasting money on something like that so that drug companies can make more money.
I would also love to gradually eliminate welfare - if you want to survive you will need to get a job. I would strengthen unemployment benefits, but it would also be tied to the unemployment rate and the benefits would go away after a certain period of time.
Mike is absolutely right about our infrastructure and social programs. We spend too much on a lot of things that we just do not need and should not be paying for. However, I do think that public education should be community/state run, and I do think that everyone needs to contribute their fair share to the betterment of the community, especially as every citizen has the right to vote on their state/local specific education issues. Private school will be extra - suck it up if you want it.
Steve