Well, I'm familiar with anarchic concepts, but I just do not see such things working in heavily populated areas like we have in the UK for example. It seems to be wishful thinking in the extreme to imagine it's possible to "get everyone on board", and then go about dismantling the state. For small communities populated with people of a similar outlook perhaps that might work.
As regards health services, proven good health services are to be found in places where the state is strong: Cuba, Libya (before the disaster) are some good examples.
I think dismantling the state is fraught with dangers and difficulties, there being no guarantee the country will not be overrun with gangs, vying for control.
Re your comments on the setting up of the NHS. In a way, it doesn't really matter why it was set up -- something good may come out even if it was done for cynical reasons (I don't believe it was done just for those reasons btw.)
That is what it takes for positive changes within the system to happen: half a million deaths because the uk decided Germany was ok for too many years (churchills common ground with hitler).
Not sure what you mean here: are you saying Britain should have declared war on Germany earlier? That's of course easy to say with hindsight!
We need to start again. If you're worried that's going to hurt the poor, then rest assured: we're already hurting and have been for so long, we are ready for anythjng.
Well, things may be bad, but it can always get a hell of a lot worse! Look at Iraq, Syria, Libya ...